Individual provider Active NPI

Jeffrey Allen Shehane, M.D.

  • Pulmonary Disease Physician
  • Knoxville, TN
National Provider Identifier
1295022721
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
51966 Issued in TN
Practice address
2240 Sutherland Ave Ste 103
Knoxville, TN 37919
Phone
(865) 588-8831
Fax
(868) 588-8841
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51966 TN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 51966 TN
Pulmonary Disease Physician 207RP1001X 51966 TN Primary

Addresses

Primary practice location

2240 Sutherland Ave Ste 103
Knoxville, TN 37919

Mailing address

PO Box 94670
Oklahoma City, OK 73143-4670
Phone (405) 682-3303

Other practice location 1

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

Other practice location 2

10904 Kingston Pike Ste 102
Knoxville, TN 37934-2952
Phone (865) 392-1540

Other practice location 3

2333 Knob Creek Rd Ste 15
Johnson City, TN 37604-2007
Phone (865) 588-8831

Other practice location 4

988 Oak Ridge Tpke Ste L20
Oak Ridge, TN 37830-6944
Phone (865) 444-4321

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
I20150430001818 TN Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Pulmonary Disease 8628397320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Pulmonary Disease
Education
Meharry Medical College School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anova Medical Associates, PLCGroup PAC ID 8325372741, 130 clinicians

Practice addresses (Care Compare)

1156 Nashville Pike
Gallatin, TN 37066-3110
Phone (615) 989-1088

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Outpatient, LLC Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Anova Medical Associates, PLC CurrentSince Sep 1, 2020 Accepting new patients
Statcare Inpatient LLC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients

Locations

1156 Nashville Pike
Gallatin, TN 37066
Phone (615) 989-1088

300 Steam Plant Rd
Ste 300
Gallatin, TN 37066
Phone (615) 451-9200

555 Hartsville Pike
Gallatin, TN 37066
Phone (615) 328-5067

2333 Knob Creek Rd
Ste 15
Johnson City, TN 37604

2240 Sutherland Ave
Ste 103
Knoxville, TN 37919
Phone (865) 934-6100

10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

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

988 Oak Ridge Tpke
Ste L20
Oak Ridge, TN 37830
Phone (865) 444-4321

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1295022721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94670",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731434670",
            "telephone_number": "405-682-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 SUTHERLAND AVE STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-588-8831",
            "fax_number": "868-588-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Fort Loudoun Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725673",
            "country_code": "US",
            "telephone_number": "865-271-6000",
            "fax_number": "865-271-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10904 Kingston Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342952",
            "country_code": "US",
            "telephone_number": "865-392-1540",
            "fax_number": "868-392-1342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Knob Creek Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042007",
            "country_code": "US",
            "telephone_number": "865-588-8831",
            "fax_number": "868-588-8841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "988 Oak Ridge Tpke Ste L20",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306944",
            "country_code": "US",
            "telephone_number": "865-444-4321",
            "fax_number": "865-338-5588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEHANE",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "51966",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "51966",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "51966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.