Individual provider Active NPI

Benjamin Meeks, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1821025222
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7176 Issued in TN
Practice address
101 Med Tech Pkwy Ste 200
Johnson City, TN 37604-4001
Phone
(423) 232-6120
Fax
(423) 232-6125
NPI assigned
Jun 28, 2006
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7176 TN Primary

Addresses

Primary practice location

101 Med Tech Pkwy Ste 200
Johnson City, TN 37604-4001

Mailing address

101 Med Tech Pkwy
Suite 200
Johnson City, TN 37604-4007
Phone (423) 232-6120

Other practice location 1

2202 N John B Dennis Hwy Ste 200
Kingsport, TN 37660-5918
Phone (423) 392-6690

Other identifiers 2

IdentifierTypeStateIssuer
P00102426OtherTNMEDICARE RAILROAD
4077962OtherTNBLUE CROSSBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000630 TN Practitioner - Nurse Practitioner 7113821802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

281 N Lyerly St
Suite 200
Chattanooga, TN 37404-2728
Phone (423) 698-0850

420 Railroad St
Elizabethton, TN 37643-2504
Phone (423) 297-1813

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7176TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates CurrentSince Apr 1, 2024 Accepting new patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates CurrentSince Apr 1, 2024 Accepting new patients
Pain Medicine Associates, P.C. Pain Medicine Current Accepting new patients
Pain Medicine Associates, P.C. CurrentSince Aug 25, 2003 Accepting new patients
Behavioral Medicine Institute PC PastSince Sep 23, 2012 Accepting new patients
Pain Consultants of East Tennessee, PLLC PastSince Aug 24, 1998 Accepting new patients
Pain Management, PLLC Past Accepting new patients
Pain Management Past Accepting new patients

Locations

281 N Lyerly St
Ste 200
Chattanooga, TN 37404
Phone (423) 698-0850

101 Med Tech Pkwy
Ste 200
Johnson City, TN 37604
Phone (423) 232-6120

2202 N John B Dennis Hwy
Kingsport, TN 37660
Phone (423) 392-6690

2202 N John B Dennis Hwy
Ste 200
Kingsport, TN 37660
Phone (423) 392-6690

Interoperability endpoints

  • Direct secure messaging: benjamin.meeks.1@30188.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGBFAD

Organizations & group practices 8

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 5

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1821025222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY",
            "address_2": "SUITE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044007",
            "telephone_number": "423-232-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY STE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044001",
            "telephone_number": "423-232-6120",
            "fax_number": "423-232-6125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 N John B Dennis Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376605918",
            "country_code": "US",
            "telephone_number": "423-392-6690",
            "fax_number": "423-392-6695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "BENJAMIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00102426",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD",
            "identifier": "4077962",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.