Individual provider Active NPI

Mackenzie Shae Liedel Jones

  • Advanced Practice Midwife
  • Sevierville, TN
National Provider Identifier
1114748894
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
740 Middle Creek Rd Ste 200
Sevierville, TN 37862-5056
Phone
(865) 908-9888
Fax
(865) 908-8756
NPI assigned
Oct 24, 2024
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 37423 TN
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

740 Middle Creek Rd Ste 200
Sevierville, TN 37862-5056

Mailing address

740 Middle Creek Rd Ste 200
Sevierville, TN 37862-5056
Phone (865) 908-9888

Other identifiers 1

IdentifierTypeStateIssuer
Q097488MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jones.mackenzie@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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218000114 TN Practitioner - Certified Nurse Midwife (CNM) 8729515523 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Sanders Perinatal CenterGroup PAC ID 3577505536, 34 clinicians

Practice addresses (Care Compare)

740 Middle Creek Rd
Suite 200
Sevierville, TN 37862-5056
Phone (865) 908-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. CurrentSince Jan 5, 2026 Accepting new patients
University Emergency Obstetrics LLC CurrentSince Jan 1, 2026 Accepting new patients
Fort Sanders Perinatal Center CurrentSince Oct 7, 2024 Accepting new patients
Leconte Women's Healthcare Associates, PC CurrentSince Oct 7, 2024 Accepting new patients
Covenant Medical Group, Inc CurrentSince Jan 5, 2026 Accepting new patients

Locations

Dept 888179
Knoxville, TN 37995

Dept 888247
Knoxville, TN 37995

501 19th St
Ste 401
Knoxville, TN 37916
Phone (865) 331-2020

1400 Centerpoint Blvd
Ste 158
Knoxville, TN 37932

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

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

609 McFarland St
Morristown, TN 37814
Phone (423) 492-7125

740 Middle Creek Rd
Ste 200
Sevierville, TN 37862
Phone (865) 908-9888

Organizations & group practices 5

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": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1114748894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MIDDLE CREEK RD STE 200",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625056",
            "telephone_number": "865-908-9888",
            "fax_number": "865-908-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MIDDLE CREEK RD STE 200",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625056",
            "telephone_number": "865-908-9888",
            "fax_number": "865-908-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MACKENZIE",
        "middle_name": "SHAE LIEDEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "37423",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q097488",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jones.mackenzie@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "740 Middle Creek Rd Ste 200",
            "city": "Sevierville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378625056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.