Jeffrey Allen Melton

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2091 Issued in TN

Practice address

Greene Valley Developmental Center
4850 East Andrew Johnson Hwy
Greeneville, TN 37743

Phone

(423) 787-6726

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780894188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HERMITAGE DR",
            "address_2": "P.O. BOX 2173",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377456510",
            "telephone_number": "423-638-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GREENE VALLEY DEVELOPMENTAL CENTER",
            "address_2": "4850 EAST ANDREW JOHNSON HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "37743",
            "telephone_number": "423-787-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "2091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert David McNeese, PHARM.D.
• Elizabeth McPeek, LMT
• Corina Meares, NP
• Med-Trans Corporation
• Medtec LLC
• Elizabeth Merritt, FNP
• Mearle E Meyer, CRNA
• Michael J. Rogers, D.D.S. PC
• Robert J Micklewright, PTA
• Tiffany Brooke Mikkola, PT, DPT

• Physical Therapy Assistant in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.