Exodus Recovery Center, PLLC.

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

License

MD20094 Issued in TN

Legal business name

EXODUS RECOVERY CENTER, PLLC.

Practice address

4200 Martin Mill Pike
Knoxville, TN 37920-3033

Phone

(252) 414-7395

NPI assigned

Jan 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David G Newman, M.D.

Title

Organizing Member

Phone

(252) 414-7395

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1184047516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MARTIN MILL PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203033",
            "telephone_number": "252-414-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MARTIN MILL PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203033",
            "telephone_number": "252-414-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS RECOVERY CENTER, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ORGANIZING MEMBER",
        "authorized_official_telephone_number": "252-414-7395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "TN",
            "license": "MD20094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Anesthesiology) Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Addiction Medicine (Anesthesiology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.