ADVANCED COMMUNITY CARE PC NPI 1396073870

NPI Information

  • NPI: 1396073870
  • Provider Name: ADVANCED COMMUNITY CARE, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: JONESBOROUGH COMMUNITY CARE
  • CLIA Number: 44D2001481
  • Address: 415 BOONES CREEK RD STE 1
    JONESBOROUGH, TN
    ZIP 37659
  • Phone: (423) 788-3455

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NPI Details

ADVANCED COMMUNITY CARE, PC is a family medicine in Jonesborough, TN. The provider is 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. ADVANCED COMMUNITY CARE, PC NPI is 1396073870. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jonesborough Community Care.

The provider's business location address is:

415 BOONES CREEK RD STE 1
JONESBOROUGH, TN
ZIP 37659-111
Phone: (423) 788-3455
Fax: (423) 788-0295

The provider's authorized official is Richard K Mcdavid .
The authorized official title is Physician/owner and has the following contact phone number (423) 788-3455.

The CLIA number assigned to this NPI record is 44D2001481 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2009 and was last updated on 10/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine38182TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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