Mark D Hennessy, M.D.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

MD 23608 Issued in TN

Practice address

1924 Alcoa Hwy
Suite 6-South
Knoxville, TN 37920-1511

Phone

(865) 305-8888

Fax

(865) 305-2514

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Risk Obstetrical Consultants, PLLCGroup PAC ID 8729137021, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• High Risk Obstetrical Consultants, PLLC

  • Maternal & Fetal Medicine Physician
  • Knoxville, TN
  • NPI 1770724676
  Medicare reassignment Care Compare group NPD Authorized official
• University of Tennessee

  • Multi-Specialty Clinic/Center
  • Knoxville, TN
  • NPI 1295751386
  Medicare reassignment NPD
• Regional Obstetrical Consultants PC

  • Maternal & Fetal Medicine Physician
  • Chattanooga, TN
  • NPI 1861485146
  Medicare reassignment
• University of Tennessee

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1174221337
  NPD
• Chattanooga Hamilton County Hospital Authority

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1407034028
  NPD (past)
• University Health System, Inc.

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  NPD (past)
• Tennessee Physician Services, LLC

  • Neonatal-Perinatal Medicine Physician
  • Statesboro, GA
  • NPI 1316206535

  Maternal & Fetal Medicine

  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1194710467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY",
            "address_2": "STE 435",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201520",
            "telephone_number": "865-305-8888",
            "fax_number": "865-305-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "SUITE 6-SOUTH",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-8888",
            "fax_number": "865-305-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "MD 23608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3069396",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Henley
• Casandra Lynn Henley, RN, JD
• Crystal Henley, OTR/L
• Emily Bryding Henley
• Peggy Jan Henley, D.D.S.
• Craig A. Hennie, DC
• Wendy Henninger
• Hailee Mere Henningsen
• Amanda Henry, BA
• Ashley Carolin Shantelle Henry

• Maternal & Fetal Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Maternal & Fetal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.