NPIMap

Individual provider Active NPI

Moez R Premji, M.D.

  • Internal Medicine Physician
  • Lenoir City, TN
National Provider Identifier
1295794089
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39023 Issued in TN
Practice address
308 E Bdwy
Lenoir City, TN 37771-3043
Phone
(865) 988-5774
Fax
(865) 988-5776
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39023 TN Primary

Addresses

Primary practice location

308 E Bdwy
Lenoir City, TN 37771-3043

Mailing address

308 E Broadway St
Lenoir City, TN 37771-3043
Phone (865) 300-9865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000715 TN Practitioner - Internal Medicine 3678532199 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

1 Veterans Way
Knoxville, TN 37931-3161
Phone (865) 862-8100

111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554

Hospital & facility affiliations

  • Smoky Mountain Home Health and Hospice, I N C Hospice, Newport, TN, CCN 441550
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Senator Ben Atchley State Veterans' Home Nursing home, Knoxville, TN, CCN 445484
  • W D Bill Manning Tennessee State Veterans Home Nursing home, Humboldt, TN, CCN 445366
  • Tennessee State Veterans Home- Cleveland Nursing home, Cleveland, TN, CCN 445543

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as individual
Quality
96.24
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Mid-Atlantic H PLLC Internal Medicine CurrentSince Sep 11, 2025 Accepting new patients
Theoria Medical Internal Medicine CurrentSince May 25, 2025 Accepting new patients
Covenant Medical Group, Inc CurrentSince Apr 1, 2013 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Aug 4, 2016 Accepting new patients
Covenant Medical Group, Inc. Internal Medicine CurrentSince Apr 1, 2013 Accepting new patients
Tennessee State Veterans Home Board Past Accepting new patients
Psychiatric Concepts, LLC Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

Dept 888179
Knoxville, TN 37995

1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530

801 Vanosdale Rd
Knoxville, TN 37909
Phone (865) 690-3411

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

308 E Broadway St
Lenoir City, TN 37771
Phone (865) 671-4394

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

5081 Easley Ave
Millington, TN 38053
Phone (901) 873-3290

100 Elmhurst Dr
Oak Ridge, TN 37830
Phone (865) 481-3367

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: premji.moez@covenanthealth.cernerdirect.com

Organizations & group practices 7

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 7

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1295794089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E BROADWAY ST",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377713043",
            "telephone_number": "865-300-9865",
            "fax_number": "865-409-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E BDWY",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377713043",
            "telephone_number": "865-988-5774",
            "fax_number": "865-988-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMJI",
        "first_name": "MOEZ",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "39023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.