EASTERLY FAMILY MEDICINE
NPI 1649538802
Family Medicine in Maryville, TN
About Easterly Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTERLY FAMILY MEDICINE (NPI 1649538802) is a healthcare organization registered as a family medicine in Maryville, Tennessee and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Jeffrey Easterly, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Easterly Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Easterly Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D2052375
Easterly Family Medicine, PLLC · Maryville, TNFrequently 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 Easterly Family Medicine's NPI number?
The NPI number for Easterly Family Medicine is 1649538802. It was assigned to this organization in the NPPES registry on April 25, 2012.
Where is Easterly Family Medicine located?
Easterly Family Medicine is located at 104 Parliament Drive, Maryville, TN 37804. The listed phone number is (865) 233-7425.
What is Easterly Family Medicine's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Easterly Family Medicine enrolled in Medicare?
Yes. Easterly Family Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Easterly Family Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Easterly Family Medicine, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Easterly Family Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2052375) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Easterly Family Medicine accept?
Health plans from Cigna Healthcare list Easterly Family Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Easterly Family Medicine was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Easterly Family Medicine · NPI 1649538802
Family Medicine organization in Maryville, Tennessee. Organization record, active in the CMS NPPES registry since April 25, 2012.
## Identity
- **NPI:** 1649538802 (Entity type: Organization)
- **Enumerated:** April 25, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Easterly, OWNER
## Practice location
- **Address:** 104 PARLIAMENT DRIVE, Maryville, TN 37804-6209
- **Phone:** (865) 233-7425 · **Fax:** (865) 981-4239
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2012
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1649538802) · Data from the CMS NPPES public registry.