Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jellico Emergency Physicians Medical Group PC

Organization Emergency Medicine Physician · NPI 1124322847

Jellico Emergency Physicians Medical Group PC is an Emergency Medicine Physician in Jellico, Tennessee. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

188 Hospital Ln
Jellico, TN 37762-4400
Phone: (423) 784-7252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1124322847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Maron — President · (925) 225-5837
NPI enumeratedJanuary 10, 2011
Last updated in NPPESOctober 15, 2013
Mailing addressPo Box 11769, Westminster, CA 92685-1769

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