Southwell Medical LLC.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SOUTHWELL MEDICAL LLC.

Practice address

207 Lake Forest Dr
Knoxville, TN 37920-5144

Phone

(865) 455-4817

NPI assigned

Jan 5, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jake Harrison, FNP

Title

Owner

Phone

(865) 455-4817

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Paul Harrison, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1114449881
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1003520966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 LAKE FOREST DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205144",
            "telephone_number": "865-455-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LAKE FOREST DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205144",
            "telephone_number": "865-455-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWELL MEDICAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-455-4817",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.
• Southern Medical Group PLLC
• Southern Orthocare, Inc
• Southland Behavioral Health
• Alice Victoria Sowards, PHARMD
• Ashley Sowards, PHARMD
• Luke Allen Sowards, PHARM.D.
• Larry Kyle Sowder, DDS
• Elizabeth W Sowell, APRN

• Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.