Mark Neal Hendrixson MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

021724 Issued in TN

Legal business name

MARK NEAL HENDRIXSON MD

Doing business as

Upper Cumberland Cancer Care
Upper-Cumberland Cancer Care

Practice address

707 S Main St
Crossville, TN 38555-5011

Phone

(931) 456-8435

Fax

(931) 456-8496

NPI assigned

Aug 22, 2014

Organization subpart

No

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

Authorized official

Name

Mark Hendrixson, MD

Title

Owner

Phone

(931) 456-8435

Specialties & licenses 2

Addresses

Other names 2

• Upper Cumberland Cancer Care Doing business as
• Upper-Cumberland Cancer Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew A Brayton, NP

  • Nurse Practitioner
  • Tazewell, TN
  • NPI 1700010816
  NPD (past)
• Jamie Brumit, FNP

  • Family Nurse Practitioner
  • Crossville, TN
  • NPI 1144177403
  NPD (past)
• Jocelyn R Garrett, FNP

  • Family Nurse Practitioner
  • Oak Ridge, TN
  • NPI 1033350152
  NPD (past)

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1215336508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555011",
            "telephone_number": "931-456-8435",
            "fax_number": "931-456-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555011",
            "telephone_number": "931-456-8435",
            "fax_number": "931-456-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK NEAL HENDRIXSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2024-06-26",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "HENDRIXSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-456-8435",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "021724",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Cumberland Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upper-Cumberland Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raghu Mallapura Purushothama Reddy, M.D
• Luisa T Manestar, MD
• William M Manning, CRNA
• Izzuddin Ali Mansur, M.D.
• Linnea Desiree Marchand, FNP
• Cassie Martin, LPN
• Megann Maynard, PHARMD
• Roy McClanahan
• Sarah Marie McConnaughhay
• Hallie Camille McCormick, RN

• Specialist in Crossville, TN
• Providers in Crossville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.