Organization Active NPI

First Med Inc

Doing business as Pigeon Forge Medical Clinic

  • Primary Care Nurse Practitioner
  • Pigeon Forge, TN
National Provider Identifier
1942628854
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
8475 Issued in TN
Legal business name
FIRST MED INC
Doing business as
Pigeon Forge Medical Clinic
Practice address
3342 Parkway
Pigeon Forge, TN 37863-3423
Phone
(865) 446-4032
Fax
(865) 868-4746
NPI assigned
Mar 29, 2014
Last updated
Sep 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Dr. Robert M Maughon, M.D.
Title
Owner
Phone
(865) 446-4032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 8475 TN Primary

Addresses

Primary practice location

3342 Parkway
Pigeon Forge, TN 37863-3423

Mailing address

3342 Parkway
Pigeon Forge, TN 37863-3423
Phone (865) 446-4032

Other names 1

  • Pigeon Forge Medical Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1942628854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3342 PARKWAY",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378633423",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3342 PARKWAY",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378633423",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "MAUGHON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-446-4032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "8475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pigeon Forge Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pigeon Forge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.