Individual provider Active NPI

Adam B Shrewsberry, M.D.

  • Urology Physician
  • Jefferson City, TN
National Provider Identifier
1295977783
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
51315 Issued in TN
Practice address
120 Hospital Dr Ste 100
Jefferson City, TN 37760-5204
Phone
(865) 647-1876
Fax
(865) 471-2246
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X 51315 TN Primary
Urology Physician 208800000X 003655 GA
Specialist 174400000X 51315 TN

Addresses

Primary practice location

120 Hospital Dr Ste 100
Jefferson City, TN 37760-5204

Mailing address

120 Hospital Dr Ste 100
Jefferson City, TN 37760-5204
Phone (865) 647-1876

Other practice location 1

800 Oak Ridge Tpke
Ste. A101
Oak Ridge, TN 37830-6957
Phone (865) 482-1093

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adam.shrewsberry.1@4694.direct.athenahealth.com Direct

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
I20140613000444 TN Practitioner - Urology 7911121918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Emory University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

10800 Parkside Dr
Knoxville, TN 37934-1922

10810 Parkside Dr
Knoxville, TN 37934-1981

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 218-7011

3106 Circle Dr
White Pine, TN 37890-3306
Phone (865) 674-7454

4711 Centerline Dr
Suite 100
Knoxville, TN 37917-1405
Phone (865) 647-3260

7551 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 859-7020

7557 A Dannaher Dr
Suite G15
Powell, TN 37849-3558
Phone (865) 859-7377

7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 647-5676

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056
  • Lafollette Medical Center Hospital, La Follette, TN, CCN 440033
  • Sweetwater Hospital Association Hospital, Sweetwater, TN, CCN 440084
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51315TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Hma Physician Management, LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

120 Hospital Dr
Ste 100
Jefferson City, TN 37760
Phone (865) 471-2570

10800 Parkside Dr
Ste 201
Knoxville, TN 37934
Phone (865) 218-6660

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

4711 Centerline Dr
Ste 100
Knoxville, TN 37917
Phone (865) 545-8700

10800 Parkside Dr
Ste 330
Knoxville, TN 37934
Phone (865) 218-7444

7557 Dannaher Dr
Ste G10
Powell, TN 37849
Phone (865) 647-1876

Interoperability endpoints

  • Direct secure messaging: adam.shrewsberry.1@4694.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 6

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1295977783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 100",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605204",
            "telephone_number": "865-647-1876",
            "fax_number": "865-471-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 100",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605204",
            "telephone_number": "865-647-1876",
            "fax_number": "865-471-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Oak Ridge Tpke",
            "address_2": "Ste. A101",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306957",
            "country_code": "US",
            "telephone_number": "865-482-1093",
            "fax_number": "865-483-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHREWSBERRY",
        "first_name": "ADAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "51315",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "003655",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "51315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.shrewsberry.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 Hospital Dr Ste 100",
            "city": "Jefferson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377605204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

Verify at the official NPI Registry.