Individual provider Active NPI

Ben John Kerny Jr., M.D.

  • Emergency Medicine Physician
  • Knoxville, TN
National Provider Identifier
1275727281
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
51576 Issued in TN
Practice address
2320 Southern Shade Blvd
Knoxville, TN 37932-1686
Phone
(256) 566-6675
NPI assigned
Sep 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101246169 VA
Emergency Medicine Physician 207P00000X 51576 TN Primary

Addresses

Primary practice location

2320 Southern Shade Blvd
Knoxville, TN 37932-1686

Mailing address

2320 Southern Shade Blvd
Knoxville, TN 37932-1686
Phone (256) 566-6675

Other practice location 1

550 Fort Loudon Medical Center Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6000

Other practice location 2

1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone (423) 626-4211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091001000505 VA Practitioner - Emergency Medicine 6103962345 Reassigns benefits to 1 organization
I20151013001229 TN Practitioner - Emergency Medicine 6103962345 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51576TNMDEmergency Medicine Physician
0101246169VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 25, 2015 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Oct 11, 2015 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137

Interoperability endpoints

  • Direct secure messaging: bkerny@yourcarecommunity.org

Organizations & group practices 4

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": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1275727281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 SOUTHERN SHADE BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321686",
            "telephone_number": "256-566-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 SOUTHERN SHADE BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321686",
            "telephone_number": "256-566-6675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Fort Loudon Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725673",
            "country_code": "US",
            "telephone_number": "865-271-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 Old Knoxville Rd",
            "address_purpose": "LOCATION",
            "city": "Tazewell",
            "state": "TN",
            "postal_code": "378793625",
            "country_code": "US",
            "telephone_number": "423-626-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERNY",
        "first_name": "BEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-03",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101246169",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "51576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.