Organization Active NPI

Genneuro, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Knoxville, TN
National Provider Identifier
1376089698
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
GENNEURO, PLLC
Practice address
1400 Dowell Springs Blvd
Suite 100
Knoxville, TN 37909-2456
Phone
(865) 888-9494
NPI assigned
Jan 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Authorized official

Name
Monica K. Crane, MD
Title
Owner
Phone
(865) 888-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

1400 Dowell Springs Blvd
Suite 100
Knoxville, TN 37909-2456

Mailing address

1400 Dowell Springs Blvd Ste 340
Knoxville, TN 37909-2445
Phone (865) 888-9494

Other names 1

  • Genesis Neuroscience Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

Dept 888065
Knoxville, TN 37995

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1376089698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 DOWELL SPRINGS BLVD STE 340",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092445",
            "telephone_number": "865-888-9494",
            "fax_number": "865-444-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DOWELL SPRINGS BLVD",
            "address_2": "SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092456",
            "telephone_number": "865-888-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENNEURO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-888-9494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Neuroscience Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.