Individual provider Active NPI

Mary Ann Hammonds, MSN ADULT NURSE PRA

  • Adult Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1346565009
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
14889 Issued in TN
Practice address
220 Fort Sanders West Blvd Ste 200
Knoxville, TN 37922-3471
Phone
(865) 288-4232
Fax
(865) 288-4231
NPI assigned
Apr 6, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 14889 TN Primary

Addresses

Primary practice location

220 Fort Sanders West Blvd Ste 200
Knoxville, TN 37922-3471

Mailing address

180 Leisz Rd
Harriman, TN 37748-4327
Phone (865) 394-9078

Other practice location 1

180 Leisz Rd
Harriman, TN 37748-4327
Phone (865) 394-9078

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000115 TN Practitioner - Nurse Practitioner 3173648516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine West PLLCGroup PAC ID 7618126608, 9 clinicians

Practice addresses (Care Compare)

1236 Knoxville Hwy
Wartburg, TN 37887-4200
Phone (423) 346-5566

220 Fort Sanders W Blvd
BLDG. 2 Suite 200
Knoxville, TN 37922
Phone (865) 288-4232

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine West PLLC CurrentSince Nov 19, 2017 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 25, 2015 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 25, 2015 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Family Medicine West PLLC CurrentSince Nov 19, 2017 Accepting new patients
Tennessee Innovative Medical Services PLLC Past Accepting new patients
Synergy Health Systems, PLLC Past Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

220 Fort Sanders West Blvd
Ste 200
Knoxville, TN 37922
Phone (423) 346-5566

Organizations & group practices 7

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 2

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346565009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LEISZ RD",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377484327",
            "telephone_number": "865-394-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FORT SANDERS WEST BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223471",
            "telephone_number": "865-288-4232",
            "fax_number": "865-288-4231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Leisz Rd",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377484327",
            "country_code": "US",
            "telephone_number": "865-394-9078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMONDS",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "MSN  ADULT NURSE PRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "14889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.