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JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC
NPI 1124322847
Emergency Medicine in Jellico, TN

Active since January 10, 2011
188 HOSPITAL LN, JELLICO, TN 37762(423) 784-7252 Get Directions Write a Review

NPPES record last updated: October 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jellico Emergency Physicians Medical Group Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC (NPI 1124322847) is a healthcare organization registered as an emergency medicine in Jellico, Tennessee and active in the NPI registry since January 2011. The organization lists Steven P Maron, President, as its authorized official.

NPPES Registry Identity

NPI1124322847
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameJELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC
Location Address188 HOSPITAL LNJellico, TN 37762-4400
Mailing AddressPo Box 11769Westminster, CA 92685-1769 · (562) 468-0227
Phone(423) 784-7252
Organization SubpartNo
Authorized OfficialSteven P MaronPresident · (925) 225-5837
Enumeration DateJanuary 10, 2011
Last NPPES UpdateOctober 15, 2013
✔ NPI 1124322847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
188 HOSPITAL LN, Jellico, TN 37762
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Other Identifiers 3

Medicaid7100162540KY
Medicare PIN103G707993TN
Medicaid1522627TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROGRESSIVE HEALTH OF JELLICO LLC
Medicare Defined Swing Bed Unit
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 455-0245
JELLICO COMMUNITY HOSPITAL, INC
Clinic/Center (Medical Specialty)
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 784-1272
JELLICO MEDICAL CENTER, INC.
General Acute Care Hospital
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 784-7252
JELLICO REGIONAL HOSPITAL, LLC
General Acute Care Hospital (Critical Access)
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 784-7252
JELLICO SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 405-0060
DR. TERRENCE WESLEY LEVECK MD
Emergency Medicine
188 HOSPITAL LN, JELLICO COMMUNITY HOSPITAL
JELLICO, TN 37762
Campbell County (800) 944-7252
SARAH ROBERTS PHARMD
Pharmacist
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 671-7002
RUCHI GUPTA MD
Emergency Medicine
188 HOSPITAL LN
JELLICO, TN 37762
Campbell County (423) 784-1238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jellico Emergency Physicians Medical Group PC's NPI number?

The NPI number for Jellico Emergency Physicians Medical Group PC is 1124322847. It was assigned to this organization in the NPPES registry on January 10, 2011.

Where is Jellico Emergency Physicians Medical Group PC located?

Jellico Emergency Physicians Medical Group PC is located at 188 Hospital Ln, Jellico, TN 37762. The listed phone number is (423) 784-7252.

What is Jellico Emergency Physicians Medical Group PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Jellico Emergency Physicians Medical Group PC was last updated on October 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.