Charles Doty Jr.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1366442782 Issued in TN

Practice address

150 Hester LN
Tazewell, TN 37879-5088

Phone

(423) 851-4594

NPI assigned

Feb 3, 2017

Last updated

Sep 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• 1 Team Clinic LLC

  • Family Nurse Practitioner
  • Midway, TN
  • NPI 1578000410
  NPD (past) Authorized official
• 1 Team LLC Tazewell

  • Family Nurse Practitioner
  • Tazewell, TN
  • NPI 1710425368
  NPD (past) Authorized official

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1932647583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377440416",
            "telephone_number": "323-639-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HESTER LN",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378795088",
            "telephone_number": "423-851-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "CHARLES",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-03",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "1366442782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srijana Dangal
• Nancy Jean Day, NURSE PRACTITIONER
• Haley Henard Debusk, PA
• Sabrina Lauren Dixon
• Donald H. Deaton, DO
• Dr. Shaku Patel, D.D.S.,P.C.
• DRS Rose & Thomas
• East Tennessee Children's Primary Care Center, Inc. (Claiborne County Pediatrics)
• Michaela Lamae Edds, FNP-C
• Edelweiss Housecalls PLLC

• Family Nurse Practitioner in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.