Individual provider Active NPI

Jeff R Farrow, M.D.

  • Pulmonary Disease Physician
  • Johnson City, TN
National Provider Identifier
1942238746
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
20446 Issued in TN
Practice address
310 N State of Franklin Road
Suite 303
Johnson City, TN 37604-6051
Phone
(423) 926-8181
Fax
(423) 926-8652
NPI assigned
Jun 29, 2006
Last updated
Dec 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 20446 TN
Pulmonary Disease Physician 207RP1001X 20446 TN Primary

Addresses

Primary practice location

310 N State of Franklin Road
Suite 303
Johnson City, TN 37604-6051

Mailing address

310 N State of Franklin Road
Suite 303
Johnson City, TN 37604-6051
Phone (423) 926-8181

Other identifiers 1

IdentifierTypeStateIssuer
3051126MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061006000254 TN Practitioner - Pulmonary Disease 3274543400 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation Pulmonary Disease CurrentSince Oct 1, 2011 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2011 Accepting new patients
Pulmonary Associates of East Tennessee, P.C. Pulmonary Disease CurrentSince Jul 15, 1990 Accepting new patients
Mountain States Health Alliance PastSince Jul 1, 2015 Accepting new patients
Tennessee Critical Care Services, Inc Critical Care Medicine Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

310 N State of Franklin Rd
Ste 303
Johnson City, TN 37604
Phone (423) 926-8181

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

400 N State of Franklin Rd
Rm 2746
Johnson City, TN 37604
Phone (423) 431-2727

Interoperability endpoints

  • Direct secure messaging: jefffarrow@paetn.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1942238746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN ROAD",
            "address_2": "SUITE 303",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046051",
            "telephone_number": "423-926-8181",
            "fax_number": "423-926-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN ROAD",
            "address_2": "SUITE 303",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046051",
            "telephone_number": "423-926-8181",
            "fax_number": "423-926-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROW",
        "first_name": "JEFF",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "20446",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "20446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3051126",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.