NPIMap

Individual provider Active NPI

Rual Swanson, MD

  • Family Medicine Physician
  • Dandridge, TN
National Provider Identifier
1174529432
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD39083 Issued in TN
Practice address
150 W Price Rd
Dandridge, TN 37725-4524
Phone
(865) 475-6161
Fax
(865) 475-9857
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD39083 TN Primary
Family Medicine Physician 207Q00000X 23073 OK

Addresses

Primary practice location

150 W Price Rd
Dandridge, TN 37725-4524

Mailing address

150 W Price Rd
Dandridge, TN 37725-4524
Phone (865) 475-6161

Other identifiers 2

IdentifierTypeStateIssuer
100845940AMedicaidOK
1505765MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000551 TN Practitioner - Family Practice 6204820947 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

420 W Morris Blvd
Morristown, TN 37813-2282

420 W Morris Blvd
Suite 400H
Morristown, TN 37813-2283
Phone (423) 586-4545

657 E Broadway Blvd
Suite a
Jefferson City, TN 37760-4949
Phone (865) 475-9062

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
  • Amedisys Hospice an Adventa Company Hospice, Knoxville, TN, CCN 441525
  • Smoky Mountain Home Health and Hospice, I N C Hospice, Newport, TN, CCN 441550
  • Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056
  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030
  • Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Jefferson County Nursing Home Nursing home, Dandridge, TN, CCN 445473
  • Jefferson Park at White Pine Nursing home, White Pine, TN, CCN 445542
  • Hancock Manor Nursing Home Nursing home, Sneedville, TN, CCN 445459

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23073OKMDFamily Medicine Physician
MD39083TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Oct 17, 2022 Accepting new patients
Healthstar Physicians PC CurrentSince Aug 1, 2008 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 17, 2022 Accepting new patients
Healthstar Physicians, P.C. Family Medicine CurrentSince Aug 1, 2008 Accepting new patients
Jefferson County Nursing Home Past Accepting new patients
Hancock Manor LLC PastSince May 18, 2023 Accepting new patients
East Tennessee Primary Care Associates Family Medicine Past Accepting new patients
LP Greeneville LLC Past Accepting new patients
Jefferson County Nursing Home Past Accepting new patients
Apogee Medical Group Tennessee PC PastSince Oct 8, 2023 Accepting new patients
Jefferson Family Physicians P C Family Medicine Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

150 W Price Rd
Dandridge, TN 37725
Phone (865) 475-6161

914 Industrial Park Rd
Dandridge, TN 37725
Phone (423) 653-7189

118 E Meeting St
Dandridge, TN 37725
Phone (865) 397-2897

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

5741 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 585-0686

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hancock Manor Nursing HomeSneedville, TN, CCN 445459 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 18, 2023
May 18, 2023
Jefferson County Nursing HomeDandridge, TN, CCN 445473 Skilled nursing facility Adp of the SNF Jul 1, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 11

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1174529432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W PRICE RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254524",
            "telephone_number": "865-475-6161",
            "fax_number": "865-475-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W PRICE RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254524",
            "telephone_number": "865-475-6161",
            "fax_number": "865-475-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "RUAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD39083",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23073",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100845940A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505765",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dandridge, TN

Sources for this page

Verify at the official NPI Registry.