Individual provider Active NPI

Edward Alva Workman, MD

  • Specialist
  • Knoxville, TN
National Provider Identifier
1255428231
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19179 Issued in TN
Practice address
110 Perimeter Park Rd Ste C
Knoxville, TN 37922-2200
Phone
(865) 862-0763
Fax
(865) 862-0764
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19179 TN Primary

Addresses

Primary practice location

110 Perimeter Park Rd Ste C
Knoxville, TN 37922-2200

Mailing address

110 Perimeter Park Rd Ste C
Knoxville, TN 37922-2200
Phone (865) 862-0763

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
I20180625002299 TN Order and Referring Only - Pain ManagementPractitioner - Pain Management 3072868546

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J. Sidney Alexander, M.D., P.C. Past Accepting new patients
Forensic Medicine Associates Inc Past Accepting new patients

Organizations & group practices 2

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1255428231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PERIMETER PARK RD STE C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222200",
            "telephone_number": "865-862-0763",
            "fax_number": "865-862-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PERIMETER PARK RD STE C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222200",
            "telephone_number": "865-862-0763",
            "fax_number": "865-862-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "EDWARD",
        "middle_name": "ALVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "19179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.