Individual provider Active NPI

Kimberly L Morris, MD

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1154416105
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD21150 Issued in TN
Practice address
1924 Alcoa Hwy
U114
Knoxville, TN 37920-1511
Phone
(865) 305-9340
Fax
(865) 305-9231
NPI assigned
Oct 4, 2006
Last updated
Dec 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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 MD21150 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy
U114
Knoxville, TN 37920-1511

Mailing address

9000 Executive Park Dr
C200
Knoxville, TN 37923-4685
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
3060053MedicaidTN

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
I20040102000642 TN Practitioner - Internal Medicine 7911806542 Reassigns benefits to 1 organization
Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of TennesseeGroup PAC ID 3072421213, 64 clinicians

Practice addresses (Care Compare)

1928 Alcoa Hwy
Suite 127
Knoxville, TN 37920-1522
Phone (865) 305-8787

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21150TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee CurrentSince Feb 1, 2007 Accepting new patients
University of Tennessee CurrentSince Feb 1, 2007 Accepting new patients
University Health System Inc Past Accepting new patients
University Health System, Inc. Past Accepting new patients
University Health System, Inc Internal Medicine Past Accepting new patients

Locations

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081

1924 Alcoa Hwy
#U114
Knoxville, TN 37920
Phone (865) 305-9340

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

1928 Alcoa Hwy
Ste 127
Knoxville, TN 37920
Phone (865) 305-8368

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1154416105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 EXECUTIVE PARK DR",
            "address_2": "C200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234685",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "U114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9340",
            "fax_number": "865-305-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD21150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3060053",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.