John McCauley, MD
Individual provider Active NPI Gynecology Physician · Jacksboro, TN
NPI 1982608675 · NPPES record last updated Feb 7, 2013
Key facts
- NPI
- 1982608675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- MD34809 (TN)
- Practice address
- 2500 Jacksboro Pike
Suite 6
Jacksboro, TN 37757-2818 - Phone
- (423) 907-1685
- Fax
- (423) 907-1688
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD34809 | TN | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White County Physician Services Inc | Past | Accepting new patients | |
| East Tennessee Women'S Care, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD34809 | TN | Yes |
Addresses
Primary practice location
2500 Jacksboro Pike
Suite 6
Jacksboro, TN 37757-2818
Mailing address
2500 Jacksboro Pike
Suite 6
Jacksboro, TN 37757-2818
Phone (423) 907-1685
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3866041 | Medicaid | TN |
Other providers in Jacksboro, TN
- Lafollette Health Clinic Inc
- Lindsey Lundquist
- Michele O Lynch
- Mark a.Collins
- George Glen Massengill
- Janet McCracken
- Cara Jean McCullah
- Sandra McGill
- Olivia McKamey
- Med-Trans Corporation
All providers in Jacksboro, TN · Gynecology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.