App of Tennessee Ed, PLLC
NPI 1003230236ActiveOrganization· Emergency Medicine· Maryville, TN
Emergency Medicine in Maryville, Tennessee, registered in NPPES in February 2014. The authorized official on file is James Grimes, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1003230236 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2014 |
| Last updated in NPPES | Jan 27, 2023 |
| Certified by provider | Jan 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Physical Therapy Assistant | 225200000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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