Individual provider Active NPI

Paul T Naylor, MD

  • Orthopaedic Surgery Physician
  • Knoxville, TN
National Provider Identifier
1265407878
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20611 Issued in TN
Practice address
9430 Park West Blvd
Suite 130
Knoxville, TN 37923
Phone
(865) 690-4861
Fax
(865) 560-8525
NPI assigned
Feb 18, 2006
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20611 TN Primary

Addresses

Primary practice location

9430 Park West Blvd
Suite 130
Knoxville, TN 37923

Mailing address

PO Box 32569
Knoxville, TN 37930-2569
Phone (865) 694-0062

Other identifiers 1

IdentifierTypeStateIssuer
3053344MedicaidTN

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
I20041020000451 TN Practitioner - Orthopedic Surgery 1153382528 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20611TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Clinics PC Orthopaedic Surgery CurrentSince Jul 1, 1990 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Clinics PC Orthopaedic Surgery CurrentSince Jan 1, 1996 Accepting new patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Clinics PC Orthopaedic Surgery Current Accepting new patients

Locations

9129 Cross Park Dr
Ste 101
Knoxville, TN 37923
Phone (865) 694-7725

9430 Park West Blvd
Ste 110
Knoxville, TN 37923
Phone (865) 690-7909

9430 Park West Blvd
Ste 130
Knoxville, TN 37923
Phone (865) 694-8353

9430 Park West Blvd
Ste 235
Knoxville, TN 37923
Phone (865) 560-8550

576 Fort Loudoun Med Center Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 988-8667

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

988 Oak Ridge Tpke
Ste 100
Oak Ridge, TN 37830
Phone (865) 483-8478

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1265407878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32569",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302569",
            "telephone_number": "865-694-0062",
            "fax_number": "865-694-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD",
            "address_2": "SUITE 130",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-690-4861",
            "fax_number": "865-560-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "PAUL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "20611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053344",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.