NPIMap

Organization Active NPI

Tennessee Cancer Specialist PLLC

  • Hematology & Oncology Physician
  • Jefferson City, TN
National Provider Identifier
1144008236
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
TENNESSEE CANCER SPECIALIST PLLC
Practice address
120 Hospital Dr Ste 100
Jefferson City, TN 37760-5204
Phone
(865) 934-5800
Fax
(865) 934-5801
NPI assigned
Sep 19, 2023
Organization subpart
Yes
Parent organization
TENNESSEE CANCER SPECIALIST PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Patricia G Jenkins
Title
Credentialing Coordinator
Phone
(865) 257-0855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

120 Hospital Dr Ste 100
Jefferson City, TN 37760-5204

Mailing address

900 E Hill Ave Ste 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

Other names 1

  • Tennessee Cancer Specialists, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000160 TN Part B Supplier - Clinic/Group Practice 1658358171 Receives reassigned benefits from 69 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jefferson City, TN; Sweetwater, TN; Powell, TN; Oak Ridge, TN; Newport, TN; La Follette, TN; Knoxville, TN; Athens, TN…

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Tennessee Cancer Spec66 organizations share this tax ID, including this one
Part of
Tennessee Cancer Spec

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1144008236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152565",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 100",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605204",
            "telephone_number": "865-934-5800",
            "fax_number": "865-934-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE CANCER SPECIALIST PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENNESSEE CANCER SPECIALIST PLLC",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "865-257-0855"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Cancer Specialists, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.