Faculty Internal Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FACULTY INTERNAL MEDICINE

Practice address

4005 Fountain Valley Dr
Suite 305
Knoxville, TN 37918-5327

Phone

(865) 925-9020

Fax

(865) 377-1042

NPI assigned

Feb 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Dawn Chambers

Title

Billing Manager

Phone

(865) 288-1548

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Faculty Internal Medicine3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Faculty Internal Medicine PLLC

  • Specialist
  • Knoxville, TN
  • NPI 1417095308
  NPD tax ID
• Faculty Internal Medicine, PLLC

  • Specialist
  • Knoxville, TN
  • NPI 1265457113
  NPD tax ID

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225176514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 PARKSIDE DR",
            "address_2": "SUITE 302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342658",
            "telephone_number": "865-925-9020",
            "fax_number": "865-377-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 FOUNTAIN VALLEY DR",
            "address_2": "SUITE 305",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185327",
            "telephone_number": "865-925-9020",
            "fax_number": "865-377-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACULTY INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "865-288-1548"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723629",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robet Lee Ezzell
• Aaron Bruce Faacks, MD
• Mary Fabbrini, DO
• Grace Fabian, BSW
• Amanda Fackler, LCSW
• Faculty Internal Medicine PLLC
• Faculty Internal Medicine, PLLC
• Faculty Physicians Knoxville, PLLC
• Katie Fagan
• Kelsey Fagan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.