Individual provider Active NPI

Jon Mark Macnaughton, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Knoxville, TN
National Provider Identifier
1366485179
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
23561 Issued in TN
Practice address
10810 Parkside Dr Ste 109
Knoxville, TN 37934-1980
Phone
(865) 218-6640
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD023561 TN
Orthopaedic Surgery Physician 207X00000X 141319 MT
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 23561 TN Primary

Addresses

Primary practice location

10810 Parkside Dr Ste 109
Knoxville, TN 37934-1980

Mailing address

208 Glen Mar Dr
Lenoir City, TN 37772-3960
Phone (865) 986-4316

Other practice location 1

221 5th Ave S
Glasgow, MT 59230-2600
Phone (406) 228-3536

Other names 1

  • Dr. J. Mark Macnaughton Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address glasgowclinicsc@direct-addres.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MT, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090731000584 TN Practitioner - Orthopedic Surgery 6507876844 Reassigns benefits to 1 organization
I20240509002604 MT Practitioner - Orthopedic Surgery 6507876844 Reassigns benefits to 3 organizations
I20260409002352 GA Practitioner - Orthopedic Surgery 6507876844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Tennessee, HSC, College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frances Mahon Deaconess Hospital 38 clinicians
Memorial Health Partners Foundation Inc 458 clinicians

Practice addresses (Care Compare)

221 5TH Ave S
Glasgow, MT 59230-2600
Phone (406) 228-3400

4700 Battlefield Pkwy
Suite 320
Ringgold, GA 30736-5169
Phone (423) 495-2635

621 3Rd St S
Glasgow, MT 59230-2604
Phone (406) 228-3500

Hospital & facility affiliations

  • Frances Mahon Deaconess Hospital Hospital, Glasgow, MT, CCN 271316
  • Phillips County Hospital - Cah Hospital, Malta, MT, CCN 271312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141319MTMDOrthopaedic Surgery Physician
MD023561TNMDOrthopaedic Surgery Physician
23561TNMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Current Accepting new patients
Central Montana Medical Facilities, Inc. Orthopaedic Surgery CurrentSince Mar 1, 2025 Accepting new patients
Frances Mahon Deaconess Hospital Current Accepting new patients
Frances Mahon Deaconess Hospital CurrentSince May 6, 2024 Accepting new patients
Frances Mahon Deaconess Hospital CurrentSince May 6, 2024 Accepting new patients
Central Montana Medical Facilities, Inc CurrentSince Mar 1, 2025 Accepting new patients
Tennessee Physician Consultants, PC Orthopaedic Surgery Past Accepting new patients

Locations

621 3rd St S
Glasgow, MT 59230
Phone (406) 228-3500

221 5th Ave S
Glasgow, MT 59230
Phone (406) 228-3400

408 Wendell Ave
Lewistown, MT 59457
Phone (406) 535-1502

Organizations & group practices 15

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.

View all 15

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1366485179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GLEN MAR DR",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377723960",
            "telephone_number": "865-986-4316",
            "fax_number": "865-567-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 109",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341980",
            "telephone_number": "865-218-6640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 5th Ave S",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "MT",
            "postal_code": "592302600",
            "country_code": "US",
            "telephone_number": "406-228-3536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACNAUGHTON",
        "first_name": "JON",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD023561",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": "141319",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "23561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "glasgowclinicsc@direct-addres.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "221 5th Ave S",
            "city": "Glasgow",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592302600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "MACNAUGHTON",
            "middle_name": "MARK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.