First Med Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD16795 Issued in TN

Legal business name

FIRST MED INC

Doing business as

First Med Kingsport

Practice address

190 Community Center Dr
Suite 102
Pigeon Forge, TN 37863-6251

Phone

(865) 446-4032

Fax

(865) 868-4746

NPI assigned

Jul 25, 2014

Last updated

Jul 25, 2014By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• First Med Kingsport Doing business as

Tax ID family

First Med Gatlinburg2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• First Med Inc

  dba First Med Gatlinburg

  • Physician Assistant
  • Gatlinburg, TN
  • NPI 1376961979
  NPD tax ID

Locations

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1952719601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 N EASTMAN RD",
            "address_2": "SUITE 210",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643166",
            "telephone_number": "423-765-2243",
            "fax_number": "423-765-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 COMMUNITY CENTER DR",
            "address_2": "SUITE 102",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378636251",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "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": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD16795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3023149",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Med Kingsport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crescent Health Pigion Forge (First Med)
• Crescent Health Suboxone Clinic (First Med Suboxone)
• Rocky W David, R.PH.
• Susan M Ecklund, NURSE PRACTITIONER
• First Med Inc (Pigeon Forge Medical Clinic)
• Morgan Machen Garfield, PHARMD
• J David Garmany, FNP
• Matthew Garner, PHARM.D.
• Stuart Haney
• Stephanie Harris

• Primary Care Clinic/Center in Pigeon Forge, TN
• Providers in Pigeon Forge, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.