DR GEORGE T MATHAI PLLC (NPI# 1558553727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558553727 |
| Entity Type | Organization |
| Organization Name | DR GEORGE T MATHAI PLLC |
| Practice Address |
224 Long St New Johnsonville TN 37134-2468 |
| Practice Telephone | 9315353734 |
| Practice Fax Number | 9315353742 |
| Mailing Telephone | 9315353734 |
| Mailing Fax Number | 9315353742 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | GEORGE THOTTAKARA MATHAI (OWNER) |
| Authorized Official Telephone | 9315353734 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3889576 | 05 |
| Street Address |
224 LONG ST |
| City | NEW JOHNSONVILLE |
| State | TN |
| Zip Code | 37134-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316098858 | George Thottakara Mathai | Family Medicine | 224 Long St, New Johnsonville, TN 37134-2468 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760773055 | Shelley Ladd Brewer | Nurse Practitioner | 1950 Dupont Road, Building 525, Medical Department, New Johnsonville, TN 37134 | 2011-04-21 |
| 1265607329 | Mcewen Drug | Pharmacy | 562 Broadway Ave, New Johnsonville, TN 37134-2130 | 2008-04-29 |
| 1811329261 | Sawyer Madison LLC | Pharmacy | 990 Broadway Ave, New Johnsonville, TN 37134-2148 | 2013-08-07 |
| 1154786622 | Country Escape Therapy | Health Maintenance Organization | 501 Flatwood Rd, New Johnsonville, TN 37134-2159 | 2015-12-28 |
| 1386196624 | Margaret Lawson | Massage Therapist | 501 Flatwood Rd, New Johnsonville, TN 37134-2159 | 2016-11-03 |
| 1568823250 | Terri Crum | Massage Therapist | 501 Flatwood Rd, New Johnsonville, TN 37134-2159 | 2016-03-09 |
| 1083870901 | Jan Walls | Speech-Language Pathologist | 852 Asbury Dr, New Johnsonville, TN 37134-9673 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154786622 | Country Escape Therapy | Health Maintenance Organization | 501 Flatwood Rd, New Johnsonville, TN 37134-2159 | 2015-12-28 |
| 1811329261 | Sawyer Madison LLC | Pharmacy | 990 Broadway Ave, New Johnsonville, TN 37134-2148 | 2013-08-07 |
| 1760773055 | Shelley Ladd Brewer | Nurse Practitioner | 1950 Dupont Road, Building 525, Medical Department, New Johnsonville, TN 37134 | 2011-04-21 |
| 1083870901 | Jan Walls | Speech-Language Pathologist | 852 Asbury Dr, New Johnsonville, TN 37134-9673 | 2008-07-30 |
| 1265607329 | Mcewen Drug | Pharmacy | 562 Broadway Ave, New Johnsonville, TN 37134-2130 | 2008-04-29 |
| 1386196624 | Margaret Lawson | Massage Therapist | 501 Flatwood Rd, New Johnsonville, TN 37134-2159 | 2016-11-03 |
| 1568823250 | Terri Crum | Massage Therapist | 501 Flatwood Rd, New Johnsonville, TN 37134-2159 | 2016-03-09 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316098858 | George Thottakara Mathai | Family Medicine | 224 Long St, New Johnsonville, TN 37134-2468 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768031 | Chanler Korte | Family Medicine | 879 Greenlea Blvd Ste 103, Gallatin, TN 37066-3205 | 2020-10-26 |
| 1538768205 | Winbigler Medical, Pllc | Family Medicine | 1205 Lodge St, Alcoa, TN 37701-2092 | 2020-10-22 |
| 1205434420 | Urgent Care for Children, Pllc | Family Medicine | 5207 Highway 153, Hixson, TN 37343-5894 | 2020-10-09 |
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1144835539 | Memphis Family Care | Family Medicine | 5818 Winchester Rd, Memphis, TN 38115-4711 | 2020-09-11 |
| 1538772868 | Longmire Health Group | Family Medicine | 1331 Union Ave Ste 1024, Memphis, TN 38104-7509 | 2020-08-26 |
| 1023621646 | Access Medical Clinic Tennessee LLC | Family Medicine | 204 Glades Rd, Gatlinburg, TN 37738-5601 | 2020-08-24 |
| 1528671294 | Sarah Willms | Family Medicine | 2309 Crestmoor Rd Ste 200, Nashville, TN 37215-2043 | 2020-08-24 |
| 1265042238 | Better Care Clinic | Family Medicine | 2021 E Andrew Johnson Hwy, Morristown, TN 37814-5409 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | NEW JOHNSONVILLE |
| Zip Code | 37134 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.