Active NPI
Ben John Kerny Jr., M.D.
- Emergency Medicine Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 51576
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51576 | TN | MD | Emergency Medicine Physician |
| 0101246169 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.