Individual provider Active NPI

Isham C Hewgley, III, MD

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1215915921
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16850 Issued in TN
Practice address
10820 Parkside Dr
2ND Floor
Knoxville, TN 37934-1956
Phone
(865) 218-7972
Fax
(865) 218-7973
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 16850 TN
Internal Medicine Physician 207R00000X 16850 TN Primary

Addresses

Primary practice location

10820 Parkside Dr
2ND Floor
Knoxville, TN 37934-1956

Mailing address

10820 Parkside Dr
2ND Floor
Knoxville, TN 37934-1956
Phone (865) 218-7972

Other identifiers 2

IdentifierTypeStateIssuer
3025422MedicaidTN
P00986579OtherTNRR MEDICARE

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
I20040325000281 TN Practitioner - Internal Medicine 1153213301 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Sep 2, 2019 Accepting new patients
Abercrombie Radiological Consultants Inc Past Accepting new patients
University Health System Inc Past Accepting new patients
East Tennessee Women'S Care, PC Past Accepting new patients
Hospitalist Group PC Hospitalist Past Accepting new patients
Health Ventures, Inc Past Accepting new patients

Locations

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

10820 Parkside Dr
Fl 2
Knoxville, TN 37934
Phone (865) 218-7972

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

100 Elmhurst Dr
Oak Ridge, TN 37830
Phone (865) 481-3367

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1215915921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 PARKSIDE DR",
            "address_2": "2ND FLOOR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341956",
            "telephone_number": "865-218-7972",
            "fax_number": "865-218-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 PARKSIDE DR",
            "address_2": "2ND FLOOR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341956",
            "telephone_number": "865-218-7972",
            "fax_number": "865-218-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWGLEY, III",
        "first_name": "ISHAM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "16850",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "16850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025422",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00986579",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.