Active NPI
Wilson Scout Robinson Jr., MD
- Allergy & Immunology Physician
- Maryville, TN
National Provider Identifier
1013127729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 44683
- Practice address
- 616 W Lamar Alexander Pkwy
Maryville, TN 37801-3904 - Phone
- (865) 273-0008
- Fax
- (865) 895-4090
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 44683 | TN | Primary |
| Pediatrics Physician | 208000000X | 44683 | TN |
Addresses
Primary practice location
616 W Lamar Alexander Pkwy
Maryville, TN 37801-3904
Mailing address
616 W Lamar Alexander Pkwy
Maryville, TN 37801-3904
Phone (658) 273-0008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
616 W Lamar Alexander Pkwy
Maryville, TN 37801-3904
Phone (865) 273-0008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy, Asthma, Immunology Center - Ty Prince, PLLC | Allergy & Immunology | Current | Accepting new patients |
| Pediatric Emergency Specialists, PC | Past | Accepting new patients |
Locations
616 W Lamar Alexander Pkwy
Maryville, TN 37801
Phone (865) 273-0008
Networks
- TN PPO C-SNP
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- MS PPO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO
- TN PPO
- KY PPO
- AL HMO D-SNP
- MS PPO
- MS PPO C-SNP
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- KY PPO C-SNP
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DABGDD/Endpoint/DABGDD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Knoxville, TN
- NPI 1114752821
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Memphis, TN
- NPI 1760482434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1013127729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 W LAMAR ALEXANDER PKWY",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378013904",
"telephone_number": "658-273-0008",
"fax_number": "865-895-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 W LAMAR ALEXANDER PKWY",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378013904",
"telephone_number": "865-273-0008",
"fax_number": "865-895-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "WILSON",
"middle_name": "SCOUT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TN",
"license": "44683",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "44683",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.