Edward Trent McNeeley, MD

Family Medicine in Clinton, TN. Individual provider (NPI-1).

NPI number1932197845

StatusActive

Last updated in NPPESMay 24, 2021

Details

NPI: 1932197845
Entity type: Individual (NPI-1)
Name: Edward Trent McNeeley
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Oct 13, 2005
Certification date: May 24, 2021
Last updated: May 24, 2021

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	MD0000011390	TN	Yes

Practice location

110 Executive Park Lane
Clinton, TN 37716

Phone 865-494-9241 · Fax 865-494-2522

Mailing address

110 Executive Park Lane
Clinton, TN 37716

Phone 865-494-9241 · Fax 865-494-2522

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Clinton, TN

All 24 Family Medicine Physician providers in Clinton · All 360 providers in Clinton

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check