OrganizationActive
Advanced Community Care, PC
NPI 1396073870 · Family Medicine Physician · Jonesborough, TN
Provider details
- NPI number
- 1396073870
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Mcdavid, Physician/Owner(423) 788-3455
- License
- 38182 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
415 Boones Creek Rd Ste 1
Jonesborough, TN 37659-5111
Phone: (423) 788-3455
Fax: (423) 788-0295
Approximate (ZIP-level) locationGet directions
Mailing address
415 Boones Creek Rd Ste 1
Jonesborough, TN 37659-5165
Other names (DBA / former)
- Doing business as
- Jonesborough Community Care
Registry dates
- Enumerated
- 2009-11-23
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.