OrganizationActive
Medical Education Assistance Corporation
NPI 1710009907 · Family Medicine Physician · Bristol, TN
Provider details
- NPI number
- 1710009907
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Medical Education Assistance Corporation D.b.a. Etsu Physicians & Asso
- Organization subpart
- Yes
- Authorized official
- Russell Lewis, Executive Director(423) 433-6050
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
208 Medical Park Blvd
Bristol, TN 37620
Phone: (423) 989-4050
Fax: (423) 990-3044
Street-level locationGet directions
Mailing address
Po Box 699
Mountain Home, TN 37684-0699
Other names (DBA / former)
- Doing business as
- University Physicians Practice Group-Etsu Family Medicine Bristol
- Doing business as
- University Physicians Practice Group-Etsu Family Medicine Bristol
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.