Individual provider Active NPI

Renee Bailey Quillin, M.D.

  • Urology Physician
  • Knoxville, TN
National Provider Identifier
1194988436
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
52993 Issued in TN
Practice address
2001 Laurel Ave Ste 508
Knoxville, TN 37916-1810
Phone
(865) 331-9000
Fax
(865) 331-7000
NPI assigned
Jul 8, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME112781 FL
Urology Physician 208800000X 52993 TN Primary

Addresses

Primary practice location

2001 Laurel Ave Ste 508
Knoxville, TN 37916-1810

Mailing address

2001 Laurel Ave Ste 508
Knoxville, TN 37916-1810
Phone (865) 331-9000

Other identifiers 1

IdentifierTypeStateIssuer
Q018937MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address quillin.renee@covenanthealth.cernerdirect.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151222001806 TN Practitioner - Urology 1456516764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554

121 N Calderwood St
Alcoa, TN 37701-2109
Phone (865) 336-9188

1901 W Clinch Ave
Suite 303
Knoxville, TN 37916-2307
Phone (865) 541-1375

2001 Laurel Ave
Suite 502
Knoxville, TN 37916-1876
Phone (865) 522-6005

205 Corporate PL
Alcoa, TN 37701-1940
Phone (865) 981-1223

6600 Nightingale LN
Knoxville, TN 37909-2754
Phone (865) 632-5885

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as individual
Quality
78.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52993TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. Urology CurrentSince Jan 4, 2016 Accepting new patients
Covenant Medical Group, Inc CurrentSince Jan 4, 2016 Accepting new patients
Fort Sanders Regional Medical Center Past Accepting new patients

Locations

2001 Laurel Ave
Ste 502
Knoxville, TN 37916
Phone (865) 331-9000

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • Direct secure messaging: quillin.renee@covenanthealth.cernerdirect.com

Organizations & group practices 3

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194988436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE STE 508",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-331-9000",
            "fax_number": "865-331-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE STE 508",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-331-9000",
            "fax_number": "865-331-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLIN",
        "first_name": "RENEE",
        "middle_name": "BAILEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME112781",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "52993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018937",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "quillin.renee@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2001 Laurel Ave Ste 508",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379161810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.