NPIMap

Individual provider Active NPI

Jessica Ivey, MD

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1124096136
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34822 Issued in TN
Practice address
9333 Park West Blvd Ste 200
Knoxville, TN 37923-4317
Phone
(865) 531-4600
Fax
(833) 908-2096
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 034822 TN
Internal Medicine Physician 207R00000X 34822 TN Primary

Addresses

Primary practice location

9333 Park West Blvd Ste 200
Knoxville, TN 37923-4317

Mailing address

PO Box 26194
Belfast, ME 04915-2012
Phone (865) 584-4747

Other practice location 1

7009 Kingston Pike
Knoxville, TN 37919-5706
Phone (865) 588-8143

Other identifiers 3

IdentifierTypeStateIssuer
38655381MedicaidTN
1505170MedicaidTN
3704598MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000601 TN Practitioner - Internal Medicine 3173695590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344

9333 Park W Blvd
Knoxville, TN 37923-4341
Phone (865) 531-4600

Hospital & facility affiliations

  • University of TN Medical Center Home Care Services Home health agency, Knoxville, TN, CCN 447230
  • Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
  • NHC Homecare Knoxville Home health agency, Knoxville, TN, CCN 447129
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034822TNMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Internal Medicine PLLC CurrentSince Oct 14, 2013 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Faculty Internal Medicine, PLLC CurrentSince Oct 14, 2013 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Health Ventures, Inc Past Accepting new patients
Summit Medical Group, PLLC Internal Medicine Past Accepting new patients
East Tennessee Women'S Care, PC Past Accepting new patients

Locations

11440 Parkside Dr
Ste 302
Knoxville, TN 37934
Phone (865) 218-9220

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

9333 Park West Blvd
Ste 200
Knoxville, TN 37923
Phone (865) 531-4600

9333 Park West Blvd
Knoxville, TN 37923
Phone (865) 531-4600

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

Interoperability endpoints

  • Direct secure messaging: jessica.ivey.1@20785.direct.athenahealth.com

Organizations & group practices 8

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 8

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1124096136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26194",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152012",
            "telephone_number": "865-584-4747",
            "fax_number": "865-450-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 PARK WEST BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234317",
            "telephone_number": "865-531-4600",
            "fax_number": "833-908-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7009 Kingston Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195706",
            "country_code": "US",
            "telephone_number": "865-588-8143",
            "fax_number": "865-450-3172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVEY",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TN",
            "license": "034822",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "34822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38655381",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505170",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3704598",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.