NPIMap

Organization Active NPI

Midstate Medical Associates PLLC

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1821346107
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIDSTATE MEDICAL ASSOCIATES PLLC
Practice address
116 Concord Rd
Ste 400
Knoxville, TN 37934-2940
Phone
(865) 777-6880
Fax
(865) 777-6881
NPI assigned
Aug 17, 2012
Last updated
Nov 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Eric M Redmon, MD
Title
MBR
Phone
(865) 560-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

116 Concord Rd
Ste 400
Knoxville, TN 37934-2940

Mailing address

PO Box 437
Harriman, TN 37748-0437
Phone (865) 882-2909

Other identifiers 1

IdentifierTypeStateIssuer
1529718MedicaidTN

National Provider Directory

National Provider Directory

Locations

9031 Cross Park Dr
Ste 102
Knoxville, TN 37923
Phone (865) 214-6956

1725 Medical Center Pkwy
Ste 102
Murfreesboro, TN 37129
Phone (615) 494-1234

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1821346107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377480437",
            "telephone_number": "865-882-2909",
            "fax_number": "865-882-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CONCORD RD",
            "address_2": "STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342940",
            "telephone_number": "865-777-6880",
            "fax_number": "865-777-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSTATE MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "REDMON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "865-560-8787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529718",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.