NPIMap

Individual provider Active NPI

Michael E Jewett, M.D.

  • Family Medicine Physician
  • Jonesborough, TN
National Provider Identifier
1780648063
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD37121 Issued in TN
Practice address
121 E Main St
Jonesborough, TN 37659-1317
Phone
(423) 788-0123
Fax
(888) 723-8410
NPI assigned
Apr 14, 2006
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD37121 TN Primary

Addresses

Primary practice location

121 E Main St
Jonesborough, TN 37659-1317

Mailing address

PO Box 556
Jonesborough, TN 37659-0556
Phone (423) 788-0123

Other identifiers 3

IdentifierTypeStateIssuer
TN01Q8OtherTNJOHN DEERE
4054466OtherTNBCBS
3880278MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070122000574 TN Practitioner - Family Practice 0446251250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

121 E Main St
Jonesborough, TN 37659-1317
Phone (423) 788-0123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD37121TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine of Jonesborough LLC Family Medicine CurrentSince Sep 26, 2006 Accepting new patients
Jonesborough Adult & Geriatric Medicine LLC PastSince Sep 26, 2006 Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine Past Accepting new patients

Locations

121 E Main St
Jonesborough, TN 37659
Phone (423) 788-0123

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1780648063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376590556",
            "telephone_number": "423-788-0123",
            "fax_number": "888-723-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E MAIN ST",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591317",
            "telephone_number": "423-788-0123",
            "fax_number": "888-723-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD37121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN01Q8",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4054466",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3880278",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesborough, TN

Sources for this page

Verify at the official NPI Registry.