Provider Demographics
NPI:1700088358
Name:LOWELL L. MCCAULEY M.D.,P.C.
Entity Type:Organization
Organization Name:LOWELL L. MCCAULEY M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCKAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-549-5151
Mailing Address - Street 1:6216 HIGHLAND PLACE WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4068
Mailing Address - Country:US
Mailing Address - Phone:865-549-5151
Mailing Address - Fax:865-549-5147
Practice Address - Street 1:6216 HIGHLAND PLACE WAY STE 105
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4068
Practice Address - Country:US
Practice Address - Phone:865-549-5151
Practice Address - Fax:865-549-5147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN019982174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNC19051Medicare UPIN
TN3731558Medicare ID - Type UnspecifiedGROUP #