Active NPI
Charles L. Robinson, D.O.
- Family Medicine Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 775
- Practice address
- 1300 Old Weisgarber Rd
Knoxville, TN 37909-1291 - Phone
- (865) 584-2146
- Fax
- (865) 584-9660
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 775 | TN | Primary |
Addresses
Primary practice location
1300 Old Weisgarber Rd
Knoxville, TN 37909-1291
Mailing address
PO Box 52268
Knoxville, TN 37950-2268
Phone (865) 584-2146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4466400001 | Other | TN | MEDICARE DMEPOS SUPPLIER NUMBER |
| 3302301 | Medicaid | TN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| DX Mso, PLLC | Current | Accepting new patients | |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| Familycare Specialists PC | Family Medicine | Past | Accepting new patients |
Locations
700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
Dept 888179
Knoxville, TN 37995
1300 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 584-2146
9330 Park West Blvd
Ste 402
Knoxville, TN 37923
Phone (865) 690-3003
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Urgent Care Clinic/Center
- Chattanooga, TN
- NPI 1225381148
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1881636488
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1033447008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1245283571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52268",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379502268",
"telephone_number": "865-584-2146",
"fax_number": "865-584-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 OLD WEISGARBER RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091291",
"telephone_number": "865-584-2146",
"fax_number": "865-584-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "CHARLES",
"middle_name": "L.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMEPOS SUPPLIER NUMBER",
"identifier": "4466400001",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3302301",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.