Individual provider Active NPI

Eric Deward Eddy, MD

  • Family Medicine Physician
  • Bristol, TN
National Provider Identifier
1912468372
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD211856 Issued in OR
Practice address
208 Medical Park Blvd
Bristol, TN 37620-7343
Phone
(423) 989-4050
Fax
(423) 990-3044
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD211856 OR Primary

Addresses

Primary practice location

208 Medical Park Blvd
Bristol, TN 37620-7343

Mailing address

2700 SE Stratus Ave # 301
McMinnville, OR 97128-6239
Phone (971) 901-3908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220912000680 OR Practitioner - Family Practice 4688079635 Reassigns benefits to 3 organizations
I20260320003686 IA Practitioner - Family Practice 4688079635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willamette Valley Clinics LLCGroup PAC ID 6103729314, 39 clinicians
Palo Alto County HospitalGroup PAC ID 4486563061, 23 clinicians

Practice addresses (Care Compare)

2700 SE Stratus Ave
Unit 201
McMinnville, OR 97128-6256
Phone (503) 435-6398

3201 1St St
Emmetsburg, IA 50536-2516
Phone (712) 852-5500

Hospital & facility affiliations

  • First Call Home Health Agency, LLC Home health agency, Salem, OR, CCN 387147
  • Willamette Valley Medical Center Hospital, McMinnville, OR, CCN 380071
  • Palo Alto County Hospital Hospital, Emmetsburg, IA, CCN 161357

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McMinnville Immediate Health Care LLC CurrentSince Dec 6, 2025 Accepting new patients
Willamette Valley Clinics LLC Family Medicine CurrentSince Dec 30, 2022 Accepting new patients
Willamette Valley Medical Center LLC Past Accepting new patients

Locations

2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565

207 NE 19th St
McMinnville, OR 97128
Phone (503) 435-1077

2700 SE Stratus Ave
Unit 201
McMinnville, OR 97128
Phone (503) 435-6398

2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110

2700 SE Stratus Ave
Unit 301
McMinnville, OR 97128
Phone (503) 474-1148

Interoperability endpoints

  • Direct secure messaging: ericeddy@hmgpath.allscriptsdirect.net
  • Direct secure messaging: eric.eddy.1@1814.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1912468372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE # 301",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286239",
            "telephone_number": "971-901-3908",
            "fax_number": "503-472-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207343",
            "telephone_number": "423-989-4050",
            "fax_number": "423-990-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "ERIC",
        "middle_name": "DEWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD211856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.