Individual provider Active NPI

Michelle M Holmes, NP

  • Adult Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1174770713
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
13579 Issued in TN
Practice address
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone
(865) 584-4747
Fax
(865) 584-1363
NPI assigned
Aug 26, 2008
Last updated
Oct 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 13579 TN Primary

Addresses

Primary practice location

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604

Mailing address

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747

Other names 1

  • Michelle Dawn McGhee Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000936 TN Practitioner - Nurse Practitioner 5799843421 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Tennessee Surgical Group, P.C.Group PAC ID 2365497765, 5 clinicians

Practice addresses (Care Compare)

2001 Laurel Ave
Suite 204
Knoxville, TN 37916-1864
Phone (865) 673-0288

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.21 of 100Reported as group
Quality
79.66
Promoting interoperability
0
Improvement activities
20
Cost
69.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Surgical Group, P.C. CurrentSince Feb 15, 2019 Accepting new patients
Integrated Wound Care Tennessee PLLC CurrentSince Apr 1, 2022 Accepting new patients
Statcare Inpatient LLC CurrentSince Jul 1, 2017 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 1, 2008 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 1, 2008 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

1120 E Weisgarber Rd
Ste 104
Knoxville, TN 37909
Phone 8655844747219

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

2001 Laurel Ave
Ste 204
Knoxville, TN 37916
Phone (865) 673-0288

141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1174770713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092604",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092604",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "13579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MCGHEE",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.