Individual provider Active NPI

Mark Irwin

  • Infectious Disease Physician
  • Knoxville, TN
National Provider Identifier
1104453588
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
6170 Issued in TN
Practice address
501 19TH St Ste 600
Knoxville, TN 37916-1852
Phone
(865) 525-4333
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 6170 TN Primary

Addresses

Primary practice location

501 19TH St Ste 600
Knoxville, TN 37916-1852

Mailing address

201 19TH Street
Suite 600, Trustees Tower
Knoxville, TN 37916
Phone (865) 525-4333

Other identifiers 1

IdentifierTypeStateIssuer
Q102113MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Irwin.mark@covenanthealth.cernerdirect.com

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
I20250627000171 TN Practitioner - Infectious Disease 9133544828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

2210 Sutherland Ave
Suite 110
Knoxville, TN 37919-2337
Phone (865) 525-4333

Hospital & facility affiliations

  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6170TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc Infectious Disease CurrentSince Jul 1, 2025 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients

Locations

501 19th St
Ste 600
Knoxville, TN 37916
Phone (865) 331-9160

Dept 888179
Knoxville, TN 37995

2210 Sutherland Ave
Ste 110
Knoxville, TN 37919
Phone (865) 525-4333

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • Direct secure messaging: irwin.mark@covenanthealth.cernerdirect.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1104453588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 19TH STREET",
            "address_2": "SUITE 600, TRUSTEES TOWER",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37916",
            "telephone_number": "865-525-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH ST STE 600",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161852",
            "telephone_number": "865-525-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "6170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q102113",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Irwin.mark@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "501 19th St Ste 600",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379161852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.