Tennessee Nephrology Clinic, PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD30912 Issued in TN

Legal business name

TENNESSEE NEPHROLOGY CLINIC, PLLC

Practice address

714 E Harper Ave
Maryville, TN 37804-4028

Phone

(865) 238-6580

Fax

(865) 238-6585

NPI assigned

Feb 22, 2012

Last updated

Feb 11, 2026By 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

Mohammad Javeed Shafi, M.D.NPI 1831197433

Title

Owner

Phone

(865) 982-5044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

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.

• Mohammad Javeed Shafi, M.D.

  • Nephrology Physician
  • Mount Pleasant, TX
  • NPI 1831197433

  TN

  Medicare reassignment NPD Authorized official
• Ashley Brooke Estes, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1487007951
  Medicare reassignment NPD
• Robyn Rarick Gray, NP

  • Family Nurse Practitioner
  • Maryville, TN
  • NPI 1306221759
  Medicare reassignment NPD

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1164795159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 26",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194900",
            "telephone_number": "865-238-6580",
            "fax_number": "865-238-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 E HARPER AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378044028",
            "telephone_number": "865-238-6580",
            "fax_number": "865-238-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE NEPHROLOGY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "JAVEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-982-5044",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "MD30912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee Center for Reproductive Acupuncture (Maryville Acupuncture)
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• Tennessee CVS Pharmacy LLC (CVS Pharmacy #16598)
• Tennessee Health. Marilyn Lee LLC
• Tennessee Ketamine & Therapeutics
• Tennessee Therapy Solutions, Inc
• Tennessee Valley Oral Surgery. PLLC
• Tennessee Valley Urology PC
• David Alan Terry, DC
• Jennifer B Terry, MPH, MS, RD, CCC-SLP

• Nephrology Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.