Individual provider Active NPI

John Philip Shillinglaw, MD

  • Surgery Physician
  • Knoxville, TN
National Provider Identifier
1154883452
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
70715 Issued in TN
Practice address
1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511
Phone
(865) 305-9006
Fax
(865) 305-6958
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 70715 TN
Student in an Organized Health Care Education/Training Program 390200000X 89834 GA
Surgery Physician 208600000X 70715 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511

Mailing address

1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511
Phone (865) 305-9006

Other practice location 1

777 Hemlock St # 140
Macon, GA 31201-2102
Phone (478) 633-8101

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
I20250211000997 TN Practitioner - General Surgery 3072841790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Carolina School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333

1928 Alcoa Hwy 102
Knoxville, TN 37920-1506
Phone (865) 305-6640

1928 Alcoa Hwy S 102
Knoxville, TN 37920-1506
Phone (865) 544-6740

2681 Andersonville Hwy
Suite 102
Clinton, TN 37716-6706
Phone (865) 494-5960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70715TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc Surgery CurrentSince Feb 1, 2025 Accepting new patients
University Health System Inc CurrentSince Feb 1, 2025 Accepting new patients
University Health System, Inc Current Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

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

1932 Alcoa Hwy
Ste 270
Knoxville, TN 37920
Phone (865) 251-4658

1924 Alcoa Hwy
#U11
Knoxville, TN 37920
Phone (865) 305-9230

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

Organizations & group practices 4

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1154883452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U-11",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9006",
            "fax_number": "865-305-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U-11",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9006",
            "fax_number": "865-305-6958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St # 140",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-633-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHILLINGLAW",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TN",
            "license": "70715",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "89834",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "70715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.