Active NPI
Anthony Glen Justice, M.D.
- Adult Medicine Physician
- Knoxville, TN
National Provider Identifier
1295007730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- MD19281
- Practice address
- 11911 Kingston Pike
Suite 201
Knoxville, TN 37934-4602 - Phone
- (865) 437-7401
- NPI assigned
- Jan 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | MD19281 | TN | Primary |
Addresses
Primary practice location
11911 Kingston Pike
Suite 201
Knoxville, TN 37934-4602
Mailing address
11911 Kingston Pike
Suite 201
Knoxville, TN 37934-4602
Phone (865) 437-7401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19281 | TN | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Anesthesia Group, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Oak Ridge, TN
- NPI 1639148117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1295007730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11911 KINGSTON PIKE",
"address_2": "SUITE 201",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379344602",
"telephone_number": "865-437-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 KINGSTON PIKE",
"address_2": "SUITE 201",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379344602",
"telephone_number": "865-437-7401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "ANTHONY",
"middle_name": "GLEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-30",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TN",
"license": "MD19281",
"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 Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.