Active NPI
Philomina Presentation, M.D.
- Psychiatry Physician
- Knoxville, TN
National Provider Identifier
1194794933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD34510
- Practice address
- 9031 Cross Park Dr
Knoxville, TN 37923-4602 - Phone
- (865) 545-4592
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD34510 | TN | Primary |
Addresses
Primary practice location
9031 Cross Park Dr
Knoxville, TN 37923-4602
Mailing address
606 Rockwell Farm LN
Knoxville, TN 37934-4461
Phone (865) 386-6614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD34510 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Behavioral Health, LLC | Psychiatry | Past | Accepting new patients |
| Madison Behavioral Health, LLC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Madison Behavioral Health
- Psychiatry Physician
- Madison, TN
- NPI 1891741450
-
- Psychiatry Physician
- Madison, TN
- NPI 1912938515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1194794933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 ROCKWELL FARM LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379344461",
"telephone_number": "865-386-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9031 CROSS PARK DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234602",
"telephone_number": "865-545-4592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESENTATION",
"first_name": "PHILOMINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD34510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
- Eric R Prenshaw, M.D.
- Remy Kathleen Prentice, SLP
- Presbyterian Homes of Tennessee, Inc. (WellPark at Shannondale)
- Presbyterian Homes of Tennessee, Inc. (Shannondale Health Care Center)
- Kerry Allison Prescott, APRN
- Emily Ann Presley
- Chelsea Kyle Pressley, DNP, FNP
- Susan Danielle Pressley
- Allison Ely Pressly, CRNA
- Presson Eye Care, PLLC (Karns Vision Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.