Active NPI
Meadow Spring Primary Care
- Internal Medicine Physician
- Jefferson City, TN
National Provider Identifier
1821531625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO962
- Legal business name
- MEADOW SPRING PRIMARY CARE
- Practice address
- 1526 Meadow Spring Dr
Jefferson City, TN 37760 - Phone
- (865) 475-4988
- Fax
- (865) 475-4350
- NPI assigned
- Nov 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Buhls
- Title
- Office Manager
- Phone
- (865) 475-4988
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO962 | TN | |
| Internal Medicine Physician | 207R00000X | DO962 | TN | Primary |
Addresses
Primary practice location
1526 Meadow Spring Dr
Jefferson City, TN 37760
Mailing address
1526 Meadow Spring Dr
Jefferson City, TN 37760-2041
Phone (865) 475-4988
National Provider Directory
National Provider DirectoryLocations
1526 Meadow Spring Dr
Jefferson Cty, TN 37760
Phone (865) 475-4988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533859200000",
"number": "1821531625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 MEADOW SPRING DR",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377602041",
"telephone_number": "865-475-4988",
"fax_number": "865-475-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 MEADOW SPRING DR",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "37760",
"telephone_number": "865-475-4988",
"fax_number": "865-475-4350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOW SPRING PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-28",
"last_updated": "2018-08-10",
"status": "A",
"authorized_official_last_name": "BUHLS",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "865-475-4988"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "TN",
"license": "DO962",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TN",
"license": "DO962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.