Individual provider Active NPI

Samuel Lawrence Wood, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1063992097
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24576 Issued in TN
Practice address
1340 Dowell Springs Blvd
Knoxville, TN 37909-2453
Phone
(865) 314-5939
Fax
(865) 297-5233
NPI assigned
Aug 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24576 TN Primary

Addresses

Primary practice location

1340 Dowell Springs Blvd
Knoxville, TN 37909-2453

Mailing address

1340 Dowell Springs Blvd
Knoxville, TN 37909-2453
Phone (865) 314-5939

Other practice location 1

301 Higgins Ave Ste 103
Knoxville, TN 37920-3006
Phone (865) 999-8301

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181115002581 TN Practitioner - Nurse Practitioner 3971857673 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Down to Earth ServicesGroup PAC ID 1557755584, 8 clinicians

Practice addresses (Care Compare)

1340 Dowell Springs Blvd
Knoxville, TN 37909-2453
Phone (865) 314-5939

Merit-based Incentive Payment System (MIPS)

Final score
98.07 of 100Reported as group
Quality
77.73
Promoting interoperability
100
Improvement activities
40
Cost
82.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Down to Earth Services CurrentSince Jan 28, 2024 Accepting new patients
Faculty Physicians Knoxville, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Skyway Family Care Family CurrentSince Feb 26, 2024 Accepting new patients

Locations

1340 Dowell Springs Blvd
Knoxville, TN 37909
Phone (865) 314-5939

1415 Old Weisgarber Rd
Ste 350
Knoxville, TN 37909
Phone (865) 588-1605

301 Higgins Ave
Ste 103
Knoxville, TN 37920
Phone (865) 999-8301

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1063992097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092453",
            "telephone_number": "865-314-5939",
            "fax_number": "865-297-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092453",
            "telephone_number": "865-314-5939",
            "fax_number": "865-297-5233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Higgins Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379203006",
            "country_code": "US",
            "telephone_number": "865-999-8301",
            "fax_number": "865-999-8314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SAMUEL",
        "middle_name": "LAWRENCE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.