NPIMap

Organization Active NPI

Neighborhood Medical LLC

Doing business as Neighborhood Primary Care

  • Primary Care Clinic/Center
  • Jacksboro, TN
National Provider Identifier
1780008656
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NEIGHBORHOOD MEDICAL LLC
Doing business as
Neighborhood Primary Care
Practice address
2702 Jacksboro Pike
Suite B
Jacksboro, TN 37757-4850
Phone
(423) 201-9937
NPI assigned
Feb 12, 2014
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melissa Joyner
Title
Owner
Phone
(423) 404-1994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2702 Jacksboro Pike
Suite B
Jacksboro, TN 37757-4850

Mailing address

PO Box 786
Jacksboro, TN 37757-0786
Phone (423) 201-9854

Other practice location 1

120 Tanner Pl
Clinton, TN 37716-6684
Phone (865) 264-4012

Other names 1

  • Neighborhood Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

2702 Jacksboro Pike
Jacksboro, TN 37757
Phone (423) 201-9937

2702 Jacksboro Pike
Ste B
Jacksboro, TN 37757
Phone (423) 201-9937

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1780008656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377570786",
            "telephone_number": "423-201-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 JACKSBORO PIKE",
            "address_2": "SUITE B",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574850",
            "telephone_number": "423-201-9937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Tanner Pl",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "TN",
            "postal_code": "377166684",
            "country_code": "US",
            "telephone_number": "865-264-4012",
            "fax_number": "423-567-4722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEIGHBORHOOD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "JOYNER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-404-1994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neighborhood Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.