Individual provider Active NPI

Jeffrey Swilley, MD

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1114972650
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD28035 Issued in TN
Practice address
6600 Nightingale LN
Knoxville, TN 37909-2754
Phone
(865) 632-5885
Fax
(865) 632-5893
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD28035 TN Primary

Addresses

Primary practice location

6600 Nightingale LN
Knoxville, TN 37909-2754

Mailing address

6600 Nightingale LN
Knoxville, TN 37909-2754
Phone (865) 632-5885

Other practice location 1

7625 Chapman Hwy Ste 103
Knoxville, TN 37920-2353
Phone (865) 632-5893

Other identifiers 3

IdentifierTypeStateIssuer
TN0105OtherTNJOHNDEERE
3803213MedicaidTN
4118986OtherTNBLUE CROSS

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
I20060420000571 TN Practitioner - Internal Medicine 7618986720 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28035TNMDInternal Medicine Physician
28035TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. Internal Medicine CurrentSince Dec 1, 2012 Accepting new patients
Covenant Medical Group, Inc CurrentSince Dec 1, 2012 Accepting new patients
Knoxville Internal Medicine PLLC Internal Medicine Past Accepting new patients

Locations

6600 Nightingale Ln
Knoxville, TN 37909
Phone (865) 632-5885

7625 Chapman Hwy
Ste 103
Knoxville, TN 37920
Phone (865) 331-1122

Dept 888179
Knoxville, TN 37995

7564 Mountain Grove Dr
Knoxville, TN 37920
Phone (865) 632-5885

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

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1114972650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 NIGHTINGALE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092754",
            "telephone_number": "865-632-5885",
            "fax_number": "865-632-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 NIGHTINGALE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092754",
            "telephone_number": "865-632-5885",
            "fax_number": "865-632-5893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7625 Chapman Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379202353",
            "country_code": "US",
            "telephone_number": "865-632-5893",
            "fax_number": "865-374-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWILLEY",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD28035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNDEERE",
            "identifier": "TN0105",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3803213",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4118986",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.