Medical Education Assistance Corporation · Developmental - Behavioral Pediatrics Physician

252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615

Overview

Medical Education Assistance Corporation is a Developmental - Behavioral Pediatrics Physician (organization) practicing in Gray, Tennessee. The National Provider Identifier (NPI) is #1750650875, which was assigned on December 19, 2011, and the registration record was last updated on August 22, 2018. The practitioner's main practice location is at 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615; the contact telephone number is 4232833060, and the fax number is 4232837441. The primary taxonomy of Medical Education Assistance Corporation is Developmental - Behavioral Pediatrics Physician (2080P0006X), with specialization in Developmental - Behavioral Pediatrics. The authorized official for Medical Education Assistance Corporation is Mr. Russell E Lewis (Executive Director). Medical Education Assistance Corporation is licensed to practice in the state of Tennessee (#31588).

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Provider Information

NPI 1750650875
Entity Type Organization
Organization Name MEDICAL EDUCATION ASSISTANCE CORPORATION
Provider Name MEDICAL EDUCATION ASSISTANCE CORPORATION
Practice Address 252 Sam Jenkins Rd
Attn: Dr. H. Patrick Stern
Gray
TN 37615
Practice Telephone 4232833060
Practice Fax Number 4232837441
Mailing Address Po Box 2204
Johnson City
TN 37605-2204
Mailing Telephone 4234336050
Mailing Fax Number 4234336060
Enumeration Date 2011-12-19
Last Update Date 2018-08-22
Is Organization Subpart N

Authorized Official Information

Official Name MR. RUSSELL E LEWIS
Official Title EXECUTIVE DIRECTOR
Telephone 4234336050

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y2080P0006XPediatricsDevelopmental - Behavioral Pediatrics193400000X SINGLE SPECIALTY GROUP31588TN

Other Provider Names

Other Organization NameType
RIDGEVIEW ELEMENTRYOther Name

Taxonomy Information

Primary Taxonomy

Code 2080P0006X
Taxonomy Developmental - Behavioral Pediatrics Physician
Classification Pediatrics
Specialization Developmental - Behavioral Pediatrics
Grouping Allopathic & Osteopathic Physicians
Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

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Provider NameAddressTaxonomyEnumeration Date
Aspire Behavioral Services LLC 2950 E Rochelle Ave Ste B, Las Vegas, NV 89121-5301Developmental - Behavioral Pediatrics Physician2026-05-12
Kauai Pediatrics Inc 2978 Haleko Rd, Lihye, HI 96766Developmental - Behavioral Pediatrics Physician2006-10-24
Bryanna Martha Feaste 5020 Gunn Hwy Ste 250, Tampa, FL 33624-6361Developmental - Behavioral Pediatrics Physician2026-05-04
Ally Behavior LLC 351 Ballenger Center Dr Ste 102, Frederick, MD 21703-7384Developmental - Behavioral Pediatrics Physician2026-06-01
Aspire Behavioral Services LLC 2950 E Rochelle Ave Ste B, Las Vegas, NV 89121-5301Developmental - Behavioral Pediatrics Physician2026-05-12
Pathways Pediatric Therapy Inc 323 Checker Dr, Buffalo Grove, IL 60089-1679Developmental - Behavioral Pediatrics Physician2026-04-13
First Light Collaborative LLC 1266 High Stump Rd, Harrington, DE 19952-4504Developmental - Behavioral Pediatrics Physician2026-04-13
Destiny Verrette 501 Marin St Ste 225, Thousand Oaks, CA 91360-4301Developmental - Behavioral Pediatrics Physician2026-05-12
New Jersey Developmental Services LLC 111 Town Square Pl Ste 1201, Jersey City, NJ 07310-1724Developmental - Behavioral Pediatrics Physician2026-05-01
Los Angeles Developmental Behavioral Pediatric Medical Group, P.C. 5955 Lankershim Blvd, North Hollywood, CA 91601-1006Developmental - Behavioral Pediatrics Physician2026-05-19
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Location Information

Street Address 252 SAM JENKINS RD
ATTN: DR. H. PATRICK STERN
City GRAY
State TN
Zip Code 37615
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
National Rx Inc 880 Boones Station Rd, Johnson City, TN 37615Community/Retail Pharmacy2018-08-13
Clayton Kilgore 208 Suncrest St Unit 1, Gray, TN 37615Pharmacist2018-02-13
Jesse Mullins 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615Pharmacist2014-12-09
Fay Lynn Bembry · Fay Lynn Hardison 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615Psychiatric/Mental Health Nurse Practitioner2006-09-25
Sydney Blake Younts 2244 Boones Creek Road, Johnson City, TN 37615Physician Assistant2021-08-29
Little Blessings Aba, PLLC 182 Maden Dr, Gray, TN 37615-2212Behavioral Analyst2022-12-13
Joseph K Reid 2244 Boones Creek Road, Gray, TN 37615-1417Physician Assistant2005-06-15
Boones Creek Medical PLLC 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615Family Medicine Physician2006-07-11
Breakthrough Medical, Inc 880 Boones Station Rd, Johnson City, TN 37615Substance Use Disorder Rehabilitation Clinic/Center2015-12-08
Judith Carla Durall 123 Bob Jobe Rd, Johnson City, TN 37615-2142Professional Counselor2023-01-27
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.