Individual provider Active NPI

Joshua Logan Pickett

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1316575806
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO5259 Issued in TN
Practice address
11440 Parkside Dr Ste 302
Knoxville, TN 37934-2662
Phone
(865) 218-9220
Fax
(865) 218-3331
NPI assigned
Mar 30, 2020
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X DO5259 TN Primary

Addresses

Primary practice location

11440 Parkside Dr Ste 302
Knoxville, TN 37934-2662

Mailing address

1924 Alcoa Hwy Ste 127
Knoxville, TN 37920-1511
Phone (865) 305-9410

Other practice location 1

2250 Sutherland Ave Ste 121
Knoxville, TN 37919-2332
Phone (865) 218-9220

Other practice location 2

1924 Alcoa Hwy Ste 127
Knoxville, TN 37920-1511
Phone (865) 305-9410

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
I20230821000808 TN Practitioner - Internal Medicine 8921422882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lincoln Memorial University Medical Department, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faculty Internal Medicine PLLCGroup PAC ID 4789582305, 12 clinicians

Practice addresses (Care Compare)

11440 Parkside Dr
Suite 302
Knoxville, TN 37934-2662
Phone (865) 288-1548

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Internal Medicine PLLC CurrentSince Sep 1, 2023 Accepting new patients
Faculty Internal Medicine, PLLC Past Accepting new patients
University Urology PC PastSince Apr 1, 2020 Accepting new patients

Locations

11440 Parkside Dr
Ste 302
Knoxville, TN 37934
Phone (865) 218-9220

2250 Sutherland Ave
Ste 121
Knoxville, TN 37919
Phone (865) 218-9220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1316575806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY STE 127",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9410",
            "fax_number": "865-305-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 PARKSIDE DR STE 302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342662",
            "telephone_number": "865-218-9220",
            "fax_number": "865-218-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Sutherland Ave Ste 121",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379192332",
            "country_code": "US",
            "telephone_number": "865-218-9220",
            "fax_number": "865-218-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1924 Alcoa Hwy Ste 127",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201511",
            "country_code": "US",
            "telephone_number": "865-305-9410",
            "fax_number": "865-305-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "JOSHUA",
        "middle_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "DO5259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.