Healthcare Provider Details

I. General information

NPI: 1699718650
Provider Name (Legal Business Name): DREW P. MCFARLAND IV M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 E CHURCH ST
GREENEVILLE TN
37745
US

IV. Provider business mailing address

109 E CHURCH ST
GREENEVILLE TN
37745-5603
US

V. Phone/Fax

Practice location:
  • Phone: 423-638-4131
  • Fax: 423-638-9239
Mailing address:
  • Phone: 423-638-4131
  • Fax: 423-638-9239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD000027982
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101054591
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101054591
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD000027982
License Number StateTN
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD000027982
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: