Individual provider Active NPI

Rick A Popp

  • Emergency Medicine Physician
  • Etowah, TN
National Provider Identifier
1023058179
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
23815 Issued in TN
Practice address
886 Highway 411 N
Emergency Department
Etowah, TN 37331-1912
Phone
(423) 263-3600
NPI assigned
Jun 7, 2006
Last updated
Dec 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23815 TN Primary

Addresses

Primary practice location

886 Highway 411 N
Emergency Department
Etowah, TN 37331-1912

Mailing address

886 Highway 411 N
Emergency Department
Etowah, TN 37331-1912
Phone (423) 263-3600

Other identifiers 3

IdentifierTypeStateIssuer
1506780MedicaidTN
4185154OtherTNBCBS OF TN
P00643331OtherTNRAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206001013 TN Practitioner - Emergency MedicinePractitioner - Anesthesiology 8224058169 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23815TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jun 13, 2016 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2013 Accepting new patients
Copeland Medical Services Current Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jun 13, 2016 Accepting new patients
Woods Memorial Hospital Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Appalachian Medical Services LLC Emergency Medicine Past Accepting new patients

Locations

110 Doctors Dr
Celina, TN 38551
Phone (931) 243-3860

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

886 Highway 411 N
Etowah, TN 37331
Phone (423) 263-3600

188 Hospital Ln
Jellico, TN 37762
Phone (423) 784-1272

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164

Interoperability endpoints

  • Direct secure messaging: dr_rick_popp@yourcarecommunity.org

Organizations & group practices 8

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1023058179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 HIGHWAY 411 N",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311912",
            "telephone_number": "423-263-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 HIGHWAY 411 N",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311912",
            "telephone_number": "423-263-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPP",
        "first_name": "RICK",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "23815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506780",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4185154",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00643331",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Etowah, TN

Sources for this page

Verify at the official NPI Registry.