Tidence Lane Prince, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

21247 Issued in TN

Practice address

616 W. Lamar Alexander Parkway
Maryville, TN 37801-4763

Phone

(865) 273-0008

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

No

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.

• Allergy, Asthma, Immunology Center - Ty Prince, PLLC

  • Allergy & Immunology Physician
  • Knoxville, TN
  • NPI 1114752821

  Allergy & Immunology, TN

  Medicare reassignment Care Compare group NPD
• Allergy Associates, P.a.

  • Specialist
  • Knoxville, TN
  • NPI 1073508347

  TN

  Medicare reassignment NPD
• Aaic Pharmacy

  • Community/Retail Pharmacy
  • Knoxville, TN
  • NPI 1265254254
  NPD
• Allergy Associates, PA

  • Specialist
  • Lenoir City, TN
  • NPI 1548411911
  NPD
• Allergy Associates PA

  • Specialist
  • Crossville, TN
  • NPI 1033371398
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fort Loudoun Medical Center

  • General Acute Care Hospital
  • Lenoir City, TN
  • NPI 1609860659

  Hospital

  Care Compare affiliation
• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165

  Hospital

  Care Compare affiliation
• Prisma Health - Blount Memorial Hospital Inc.

  • General Acute Care Hospital
  • Maryville, TN
  • NPI 1619939071

  Hospital

  Care Compare affiliation

Specialty

Allergy/Immunology

Education

University of Tennessee, HSC, College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy, Asthma, Immunology Center - Ty Prince, PLLC 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
• Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
• Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110

Merit-based Incentive Payment System (MIPS)

Final score

78.55 of 100Reported as group

Quality

68.46

Promoting interoperability

99

Improvement activities

40

Cost

60.87

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ty.prince@aaictpp.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DABGDD
• Direct secure messaging: tprince872774@direct.ghs.myhfn.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2026.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1215922356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 W. LAMAR ALEXANDER PARKWAY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378017360",
            "telephone_number": "865-273-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W. LAMAR ALEXANDER PARKWAY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014763",
            "telephone_number": "865-273-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "TIDENCE",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "21247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068515",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Priano
• Brenda Jean Price
• Emily Price
• Jerry Lee Price, M.D.
• Nicholas Andrew Prince, PHARM D.
• Prisma Health - Blount Memorial Hospital Inc.
• Prisma Health - Blount Memorial Hospital Inc.
• Prisma Health - Blount Memorial Hospital Inc.
• Prisma Health - Blount Memorial Hospital Inc.
• Prisma Health - Blount Memorial Hospital Inc.

• All providers in Maryville, TN
• Allergy & Immunology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.