Provider Demographics
NPI:1295783561
Name:MEADOWS, JAMES RICHARD (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:MEADOWS
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 1:115 SHORECREST CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4868
Mailing Address - Country:US
Mailing Address - Phone:154-160-0756
Mailing Address - Fax:
Practice Address - Street 1:726 N LOCUST AVE FL 2
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-2865
Practice Address - Country:US
Practice Address - Phone:931-766-3745
Practice Address - Fax:931-762-8107
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40370207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3335659Medicaid
TN3335659Medicaid
TNI46381Medicare UPIN