Active NPI
George Love Eckles Jr., M.D.
- Surgery Physician
- Knoxville, TN
National Provider Identifier
1306834031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD8257
- Practice address
- 900 E Oak Hill Ave
Tennova Wound Healing Center
Knoxville, TN 37917-4505 - Phone
- (865) 545-8888
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD8257 | TN | Primary |
Addresses
Primary practice location
900 E Oak Hill Ave
Tennova Wound Healing Center
Knoxville, TN 37917-4505
Mailing address
5220 Belfort Rd Ste 130
Jacksonville, FL 32256-6017
Phone (904) 446-3451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3165950 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD8257 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murfreesboro Surgical Specialists PLLC | Surgery | Past | Accepting new patients |
| MTMC Hospitalist Services | Past | Accepting new patients | |
| George L Eckles MD | Surgery | Past | Accepting new patients |
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.
-
- Surgery Physician
- Clarksville, TN
- NPI 1275936379
-
- Specialist
- Murfreesboro, TN
- NPI 1043381460
-
- Surgery Physician
- Murfreesboro, TN
- NPI 1952402588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1306834031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 BELFORT RD STE 130",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566017",
"telephone_number": "904-446-3451",
"fax_number": "904-446-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E OAK HILL AVE",
"address_2": "TENNOVA WOUND HEALING CENTER",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379174505",
"telephone_number": "865-545-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKLES",
"first_name": "GEORGE",
"middle_name": "LOVE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "MD8257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3165950",
"state": "TN"
}
],
"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 Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.