Organization Active NPI

Meadow Spring Primary Care

  • Internal Medicine Physician
  • Jefferson City, TN
National Provider Identifier
1821531625
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO962 Issued in TN
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

Updated by the provider on Aug 10, 2018

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X DO962 TN
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.