Individual provider Active NPI

David Jonathan Hegerich, M.D.

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1013164680
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000045252 Issued in TN
Practice address
1560 Maremont Rd
Knoxville, TN 37918-0964
Phone
(865) 686-4572
NPI assigned
Aug 26, 2008
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000045252 TN Primary

Addresses

Primary practice location

1560 Maremont Rd
Knoxville, TN 37918-0964

Mailing address

1560 Maremont Rd
Knoxville, TN 37918-0964
Phone (865) 686-4572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120913000419 NC Practitioner - Internal MedicinePractitioner - Hospitalist 2668661588 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000045252TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince May 24, 2017 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Jun 5, 2017 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1013164680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 MAREMONT RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379180964",
            "telephone_number": "865-686-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 MAREMONT RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379180964",
            "telephone_number": "865-686-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGERICH",
        "first_name": "DAVID",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000045252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.