OrganizationActive
Medical Education Assistance Corporation
NPI 1164062659 · Speech-Language Pathologist · Johnson City, TN
Provider details
- NPI number
- 1164062659
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Russell Lewis, Ceo(423) 433-6050
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2423 Susannah St
Johnson City, TN 37601-1749
Phone: (423) 915-9257
Fax: (423) 439-4607
Street-level locationGet directions
Mailing address
Po Box 699
Mountain Home, TN 37684-0699
Registry dates
- Enumerated
- 2020-01-13
- Last updated
- 2020-01-13
- Certified
- 2020-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.