Active NPIIndividual provider

Emery Edmondson, DO

Surgery in Maryville, Tennessee

NPI Number1184243321
Practice location
220 Bmh Cancer Ctr, Maryville, TN 37804-5922
Fax
865-238-6605
Last updated
October 27, 2025

Emery Edmondson is a Surgery based in Maryville, TN. Emery Edmondson practices in Maryville, TN and has the professional credentials of DO. The NPI Number for Emery Edmondson is 1184243321 and holds a License No. 6422 (TN). The current practice location address for Emery Edmondson is 220 Bmh Cancer Ctr, Maryville, TN 37804-5922 and can be reached out via phone at 865-238-6600 and via fax at 865-238-6605.

Provider Profile Details

NPI Number
1184243321
Provider Name
Emery Edmondson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
220 Bmh Cancer Ctr, Maryville, TN 37804-5922
Phone Number
865-238-6600
Fax Number
865-238-6605
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
April 8, 2020
Last Update Date
October 27, 2025
Certification Date
October 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 Bmh Cancer Ctr
Maryville, TN 37804-5922
Zip
37804-5922
Phone Number
865-238-6600
Fax Number
865-238-6605
Maryville, TN 37804Get directions →

Provider Business Mailing Address Details

Address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
City
Greenville
State
SC
Zip
29601-2842

License Information

License Number (2)
6422
License State (2)
TN
Taxonomy (2)
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Emery Edmondson, DO?

The NPI number of Emery Edmondson, DO is 1184243321. It was assigned on April 8, 2020 and is currently active in the NPPES registry.

What is the specialty of Emery Edmondson, DO?

Emery Edmondson, DO is registered under the primary taxonomy Surgery (code 208600000X), licensed in TN under license number 6422.

Where does Emery Edmondson, DO practice?

The practice location is 220 Bmh Cancer Ctr, Maryville, TN 37804-5922. The office can be reached at 865-238-6600 (phone) or 865-238-6605 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184243321 directly on the NPPES registry website.

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