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EASTERLY FAMILY MEDICINE
NPI 1649538802
Family Medicine in Maryville, TN

Active since April 25, 2012CLIA 44D2052375 · Waiver
104 PARLIAMENT DRIVE, MARYVILLE, TN 37804(865) 233-7425(865) 981-4239 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1649538802
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEASTERLY FAMILY MEDICINE
Location Address104 PARLIAMENT DRIVEMaryville, TN 37804-6209
Mailing Address104 Parliament DriveMaryville, TN 37804-6209 · (865) 233-7425 · Fax (865) 981-4239
Phone(865) 233-7425
Fax(865) 981-4239
Organization SubpartNo
Authorized OfficialJeffrey EasterlyOwner · (865) 233-7425
Enumeration DateApril 25, 2012
✔ NPI 1649538802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD0000034802
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
104 PARLIAMENT DRIVE, Maryville, TN 37804
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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

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, TN
Active · expires Jan 8, 2027
CLIA Number44D2052375
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorJeff Easterly
Laboratory Phone(865) 233-7425
Laboratory LocationEasterly Family Medicine, PLLC104 Parliament Dr, Maryville, TN 37804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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.

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.