Sherrie Corgan, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN0000019275 Issued in TN

Practice address

9330 Park West Blvd Ste 402
Knoxville, TN 37923-4312

Phone

(865) 690-3003

Fax

(865) 690-6404

NPI assigned

Dec 16, 2014

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Logan Dameron NP-C PC

  dba Concord Family Practice

  • Primary Care Clinic/Center
  • Knoxville, TN
  • NPI 1588409585
  NPD

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1295133676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD STE 402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234312",
            "telephone_number": "865-690-3003",
            "fax_number": "865-690-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD STE 402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234312",
            "telephone_number": "865-690-3003",
            "fax_number": "865-690-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORGAN",
        "first_name": "SHERRIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000019275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013254",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Core Physical Therapy LLC
• Core Surgical Inc
• Daniel Core, MD
• William Core, PT
• Jessica Mosley Corea
• Jordan Riley Cormack, PHYSICIAN ASSISTANT
• Julie Corn
• Amanda Cornatzer, MAT
• Hannah Cornelius, DPT
• Theresa Marie Cornelius, MS, RD, LDN

• Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.