MEDICARE: DR. LOWELL L MCCAULEY JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center
2	174400000X	Specialist	019982	TN

General Provider Information

NPI Number	:	1003850280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOWELL L MCCAULEY JR. M.D.

Provider Business Mailing Address
First Line	:	6216 HIGHLAND PLACE WAY STE 102
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-4068
Country	:	US
Telephone Number	:	865-549-5151
Fax Number	:	865-549-5147

Provider Business Practice Location Address
First Line	:	6216 HIGHLAND PLACE WAY STE 102
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-4068
Country	:	US
Telephone Number	:	865-549-5151
Fax Number	:	865-549-5147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	02/24/2026

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