Organization Active NPI

Gott Family Medical Clinic, LLC

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1366847006
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13526 Issued in TN
Legal business name
GOTT FAMILY MEDICAL CLINIC, LLC
Practice address
11113 Kingston Pike
Knoxville, TN 37934-2807
Phone
(865) 312-9586
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Mrs. Pamela Alice Gott, MSN, FNPNPI 1356598395
Title
MSN, FNP/Owner
Phone
(865) 312-9586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 13526 TN Primary

Addresses

Primary practice location

11113 Kingston Pike
Knoxville, TN 37934-2807

Mailing address

11113 Kingston Pike
Knoxville, TN 37934-2807
Phone (865) 312-9586

Other practice location 1

10404 Jackson Oaks Way
Knoxville, TN 37922-3293
Phone (865) 312-9586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150306002137 TN Part B Supplier - Clinic/Group Practice 5799001848 Receives reassigned benefits from 1 practitioner
Practice locations: 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
44D2289682Gott Family Medical Clinic10404 Jackson Oaks Way, Knoxville, TN 37922Certificate of waiverSep 13, 2027

National Provider Directory

National Provider Directory

Locations

11113 Kingston Pike
Knoxville, TN 37934
Phone (865) 312-9586

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1366847006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11113 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342807",
            "telephone_number": "865-312-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11113 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342807",
            "telephone_number": "865-312-9586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10404 Jackson Oaks Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223293",
            "country_code": "US",
            "telephone_number": "865-312-9586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOTT FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "GOTT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "MSN, FNP/OWNER",
        "authorized_official_telephone_number": "865-312-9586",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "13526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 28, 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.