Individual provider Active NPI

Stephanie Ann Coffman, M.D.

  • Neurological Surgery Physician
  • Knoxville, TN
National Provider Identifier
1154852671
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
70644 Issued in TN
Practice address
9314 Park West Blvd Ste 200
Knoxville, TN 37923-4344
Phone
(865) 694-0577
NPI assigned
Mar 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 70644 TN Primary

Addresses

Primary practice location

9314 Park West Blvd Ste 200
Knoxville, TN 37923-4344

Mailing address

9314 Park West Blvd Ste 200
Knoxville, TN 37923-4344
Phone (865) 694-0577

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
I20241016003153 TN Practitioner - Neurosurgery 0840562260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Kentucky College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Neurosurgical Associates PCGroup PAC ID 6002888716, 46 clinicians

Practice addresses (Care Compare)

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

9314 Park W Blvd
Suite 200
Knoxville, TN 37923-4344
Phone (865) 694-0577

Hospital & facility affiliations

  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion116
Laminectomy or laminotomy (partial removal of spine bones)49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, PC Neurological Surgery CurrentSince Jun 15, 2024 Accepting new patients

Locations

9314 Park West Blvd
Ste 200
Knoxville, TN 37923
Phone (865) 694-0577

9314 Park West Blvd
Ste 400
Knoxville, TN 37923
Phone (865) 540-1650

1932 Alcoa Hwy
Ste 360
Knoxville, TN 37920
Phone (865) 546-2663

Organizations & group practices 1

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 5

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": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1154852671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 PARK WEST BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234344",
            "telephone_number": "865-694-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 PARK WEST BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234344",
            "telephone_number": "865-694-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2024-06-25",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "70644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.