Three Rivers Medical

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

THREE RIVERS MEDICAL

Practice address

2725 E Governor John Sevier Hwy
Knoxville, TN 37914-6620

Phone

(865) 637-7962

Fax

(865) 637-8098

NPI assigned

Apr 22, 2020

Last updated

Apr 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Hancock, MDNPI 1194753459

Title

Sole Owner

Phone

(865) 637-7962

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Hancock, M.D.

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1194753459
  Medicare reassignment Authorized official
• Chris Alan Keese, APRN, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1598258204
  Medicare reassignment
• William J Black, MD

  • Emergency Medicine Physician
  • Harriman, TN
  • NPI 1720019284
  NPD (past)
• Roger A Brooksbank, M.D.

  • Emergency Medicine Physician
  • Knoxville, TN
  • NPI 1932134889
  NPD (past)
• John D Carroll, M.D.

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1508811860
  NPD (past)
• Andrew Martin Douglass, M.D.

  • Specialist
  • Knoxville, TN
  • NPI 1023099736

  Single Specialty

  NPD (past)
• Scott D McLain, MD

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1285664839
  NPD (past)
• John D Rooke, M.D.

  • Family Medicine Physician
  • Alcoa, TN
  • NPI 1336176056
  NPD (past)
• William Tucker, PA-C

  • Physician Assistant
  • Knoxville, TN
  • NPI 1205863412
  NPD (past)
• Brent Webb, D.O.

  • Family Medicine Physician
  • Jacksboro, TN
  • NPI 1336178748
  NPD (past)
• Timothy P Wilson, M.D.

  • Family Medicine Physician
  • Oak Ridge, TN
  • NPI 1417984139
  NPD (past)
• Sibte Abbas Kazmi, MD

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1861451361
  NPD (past)

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1134749906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 E GOVERNOR JOHN SEVIER HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379146620",
            "telephone_number": "865-637-7962",
            "fax_number": "865-637-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 E GOVERNOR JOHN SEVIER HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379146620",
            "telephone_number": "865-637-7962",
            "fax_number": "865-637-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "865-637-7962",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Thornton
• Elizabeth Thornton, MS
• McKenna Thorpe
• Jessica Nashay Thrasher
• Mara Grace Thrasher, FNP
• Alexandrea Danielle Threet, MSSW
• Ryan Aaron Threet, RN
• Thrive Chiropractic LLC
• Thrive Knox Therapy
• Thrive Therapy and Hormone Clinic LLC

• Urgent Care Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Urgent Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.