Stephen D Pershing, M.D. LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0000010526 Issued in TN

Practice address

1559 Highland Park Dr
Lenoir City, TN 37772-6237

Phone

(865) 635-8382

Fax

(423) 635-8388

NPI assigned

Sep 26, 2005

Last updated

May 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3c4a889f-c0c4-4f50-90d1-60f6a5ad9e7d/
• FHIR API: https://fhir-myrecord.cerner.com/r4/9d9ce2ac-65e8-4488-a0f0-ba102e060a58/

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.

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• Covenant Medical Group, Inc.

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  Internal Medicine

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• Roane Medical Center

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  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1114913969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 HIGHLAND PARK DR",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726237",
            "telephone_number": "865-635-8382",
            "fax_number": "865-635-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 HIGHLAND PARK DR",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726237",
            "telephone_number": "865-635-8382",
            "fax_number": "423-635-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSHING",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D. LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000010526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Consultants of Lenoir City
• Tiffany T Pendergrass, FNP
• Laurel Baye Penley
• Performance Eyecare Clinic, Inc.
• Performance Eyecare PLLC
• Joseph C. Petit, MD
• Cynthia Mae Petty, CPHT
• Karen Jane Phillips-Wilson, CRNA
• Physician Associate Resources, PLC (Clinica Familiar Latinoamerica)
• Physicians Clinic, P.C.

• Internal Medicine Physician in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.