Individual provider Active NPI

Henry Sperry Nelson Jr., M.D.

  • Specialist
  • Knoxville, TN
National Provider Identifier
1275558231
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD007495 Issued in TN
Practice address
1930 Alcoa Hwy BLDG a
Suite 240
Knoxville, TN 37920-1500
Phone
(865) 305-9620
Fax
(865) 525-3460
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 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 MD007495 TN Primary

Addresses

Primary practice location

1930 Alcoa Hwy BLDG a
Suite 240
Knoxville, TN 37920-1500

Mailing address

1934 Alcoa Hwy
Suite D-285
Knoxville, TN 37920-1511
Phone (865) 305-9620

Other identifiers 1

IdentifierTypeStateIssuer
3161999MedicaidTN

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
I20101215000071 TN Practitioner - General Surgery 1254334246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Jul 5, 2022 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System, Inc CurrentSince Jul 5, 2022 Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1924 Alcoa Hwy
#U11
Knoxville, TN 37920
Phone (865) 305-9230

1930 Alcoa Hwy
Ste 240
Knoxville, TN 37920
Phone (865) 305-9620

1934 Alcoa Hwy
Ste D285
Knoxville, TN 37920
Phone (865) 305-5812

1934 Alcoa Hwy
Ste 285
Knoxville, TN 37920
Phone (865) 305-9620

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

Organizations & group practices 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1275558231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 ALCOA HWY",
            "address_2": "SUITE D-285",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9620",
            "fax_number": "865-525-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY BLDG A",
            "address_2": "SUITE 240",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-305-9620",
            "fax_number": "865-525-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "HENRY",
        "middle_name": "SPERRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD007495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3161999",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.