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CHARLES AUBREY ISHAM JR. MD
NPI 1184669269
Internal Medicine in Jacksboro, TN

Active since June 20, 2006PECOS Enrolled
163 PERKINS LN, JACKSBORO, TN 37757(423) 562-1181 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Aubrey Isham Jr. Md NPPES

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

CHARLES AUBREY ISHAM JR. MD (NPI 1184669269) is an individual internal medicine provider in Jacksboro, Tennessee, licensed in Tennessee (13405) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184669269
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHARLES AUBREY ISHAM JR.Credential: MD
Location Address163 PERKINS LNJacksboro, TN 37757-2833
Mailing Address1225 E Weisgarber Rd, Suite 200Knoxville, TN 37909-2604 · (865) 584-4747
Phone(423) 562-1181
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateMay 7, 2008
✔ NPI 1184669269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 13405
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
163 PERKINS LN, Jacksboro, TN 37757
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Other Identifiers 5

Medicare UPIND74297
Medicare ID-Type Unspecified3004503TN · Legacy Pin
Other110182715TN · Rr Medicare Pin
Medicare ID-Type Unspecified3706633TN · Legacy Group
Medicaid3004504TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Aubrey Isham Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ANTHONY M. KINGSLEY FNP
Nurse Practitioner (Family)
163 PERKINS LN
JACKSBORO, TN 37757
Campbell County (423) 500-9140
CANDACE LINNEA HUTSON APRN
Nurse Practitioner (Family)
163 PERKINS LN
JACKSBORO, TN 37757
Campbell County (423) 500-9140
SMOKEY MOUNTAIN MEDICAL LLC
Nurse Practitioner (Family)
163 PERKINS LN
JACKSBORO, TN 37757
Campbell County (423) 592-0422

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 Charles Isham's NPI number?

The NPI number for Charles Isham is 1184669269. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Charles Isham located?

Charles Isham practices at 163 Perkins Ln, Jacksboro, TN 37757. The listed phone number is (423) 562-1181.

What is Charles Isham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Isham enrolled in Medicare?

Yes. Charles Isham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Isham was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.