NPIMap

Organization Active NPI

Knoxville Kidney Center, PLLC

  • Nephrology Physician
  • Knoxville, TN
National Provider Identifier
1306864186
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KNOXVILLE KIDNEY CENTER, PLLC
Practice address
320 Park 40 North Blvd
Suite a
Knoxville, TN 37923-3624
Phone
(865) 692-3462
Fax
(865) 692-3463
NPI assigned
Jul 18, 2006
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Tammy A Conger
Title
Practice Administrator
Phone
(865) 692-3462

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Nephrology Physician 207RN0300X Primary
Health Service Clinic/Center 261QH0100X 32138 TN

Addresses

Primary practice location

320 Park 40 North Blvd
Suite a
Knoxville, TN 37923-3624

Mailing address

320 N Park 40 Blvd Ste a
Knoxville, TN 37923-3624
Phone (865) 692-3462

Other identifiers 2

IdentifierTypeStateIssuer
DE8488OtherTNPGBA RAILROAD MEDICARE
004125050OtherTNBLUECROSS BLUESHIELD OF TN

Other names 1

  • G. Edward Newman, MD, PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060718000411 TN Part B Supplier - Clinic/Group Practice 2668485558 Receives reassigned benefits from 18 practitioners
Practice locations: Sweetwater, TN; Oak Ridge, TN; Knoxville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1054252Knoxville Kidney Center, PLLC320 Park 40 North Blvd, Suite a, Knoxville, TN 37923ComplianceApr 11, 2028

National Provider Directory

National Provider Directory

Locations

320 N Park 40 Blvd
Knoxville, TN 37923
Phone (865) 692-3462

320 N Park 40 Blvd
#A
Knoxville, TN 37923
Phone (865) 692-3462

324 N Park 40 Blvd
Ste B
Knoxville, TN 37923
Phone (865) 690-6660

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1306864186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N PARK 40 BLVD STE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-692-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PARK 40 NORTH BLVD",
            "address_2": "SUITE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-692-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE KIDNEY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "CONGER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "865-692-3462"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TN",
            "license": "32138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PGBA RAILROAD MEDICARE",
            "identifier": "DE8488",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF TN",
            "identifier": "004125050",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G. Edward Newman, MD, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.