Provider Demographics
NPI:1477716835
Name:SHEFFEY, JAMES EMERSON (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EMERSON
Last Name:SHEFFEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 KNOB CREEK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2366
Mailing Address - Country:US
Mailing Address - Phone:423-610-1177
Mailing Address - Fax:423-610-1179
Practice Address - Street 1:2306 KNOB CREEK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2366
Practice Address - Country:US
Practice Address - Phone:423-610-1177
Practice Address - Fax:423-610-1179
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN528162083A0300X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine