Smoky Mountain Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SMOKY MOUNTAIN AMBULATORY SURGERY CENTER LLC

Practice address

1338 Papermill Pointe Way
Knoxville, TN 37909-1903

Phone

(865) 558-3139

Fax

(865) 588-5711

NPI assigned

Feb 6, 2009

Last updated

Jun 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth Lensgraf Brown, DC

Title

Practice Administrator

Phone

(865) 558-3139

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Smoky Mountain Ambulatory Surgery Center LLCCCN 44C0001179

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Timothy R Bunker, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Oneida, TN
  • NPI 1316086606
  Medicare reassignment NPD
• Benjamin W Johnson Jr., M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Knoxville, TN
  • NPI 1982674164
  Medicare reassignment NPD
• Todd W Ussery, MD

  • Pain Medicine (Anesthesiology) Physician
  • Knoxville, TN
  • NPI 1982601290
  Medicare reassignment NPD
• Robert H. Odell Jr., M.D., PH.D.

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1013957026

  TN

  Medicare reassignment NPD
• Elizabeth A. Lensgraf, D.C.

  • Chiropractor
  • Knoxville, TN
  • NPI 1659378958
  NPD
• Adolfo J Cuadra, MD

  • Interventional Pain Medicine Physician
  • Knoxville, TN
  • NPI 1457321648
  NPD (past)

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1326287871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 PAPERMILL POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091903",
            "telephone_number": "865-558-3139",
            "fax_number": "865-330-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 PAPERMILL POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091903",
            "telephone_number": "865-558-3139",
            "fax_number": "865-588-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKY MOUNTAIN AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "LENSGRAF BROWN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "865-558-3139",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526056",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE HEALTH CARE FACILITY",
            "identifier": "206",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Smithgall
• Emily Montgomery Smithson, CRNA
• Stacey Smithson, RN
• Sonya M. Smoak, O.D.
• Smokey Mountain Diagnostics
• Jennifer Danielle Smtih
• Daniel Lee Smugor, DPM, PHARMD
• Kathrine Smyth, M.D.
• Nicholaus Smyth, PHARMD
• Heather Lynn Smythe

• Ambulatory Surgical Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.