Active NPI
J Larry Simpson
- Specialist
- Lenoir City, TN
National Provider Identifier
1053582718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- TN186
- Practice address
- 460 Medical Park Dr
Suite 102
Lenoir City, TN 37772-5782 - Phone
- (865) 988-1883
- NPI assigned
- Mar 20, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | TN186 | TN | Primary |
Addresses
Primary practice location
460 Medical Park Dr
Suite 102
Lenoir City, TN 37772-5782
Mailing address
130 Mabry Hood Rd
Suite 103
Knoxville, TN 37922-2221
Phone (865) 690-6702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN186 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1053582718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MABRY HOOD RD",
"address_2": "SUITE 103",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379222221",
"telephone_number": "865-690-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 MEDICAL PARK DR",
"address_2": "SUITE 102",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377725782",
"telephone_number": "865-988-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "J",
"middle_name": "LARRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "TN186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenoir City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.