Active NPI
Jonathan W Angelle, MD
- Urology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 62293
- Practice address
- 1928 Alcoa Hwy Ste B222
Knoxville, TN 37920-1504 - Phone
- (865) 305-9254
- Fax
- (865) 305-4589
- NPI assigned
- Jun 27, 2014
- Last updated
- Jul 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 82815 | GA | |
| Urology Physician | 208800000X | 62293 | TN | Primary |
Addresses
Primary practice location
1928 Alcoa Hwy Ste B222
Knoxville, TN 37920-1504
Mailing address
1928 Alcoa Hwy Ste B222
Knoxville, TN 37920-1504
Phone (865) 305-9254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Louisiana State University School of Medicine in Shreveport, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Champion Physical Therapy LLC Halls
Practice addresses (Care Compare)
1928 Alcoa Hwy
Suite B222
Knoxville, TN 37920-1504
Phone (865) 305-9254
2046 Town Ctr Blvd
Knoxville, TN 37922-6677
Phone (865) 305-9254
3106 Circle Dr
White Pine, TN 37890-3306
Phone (865) 674-7454
Hospital & facility affiliations
- University Health System, Inc
- Morristown Hamblen Hospital Association
- Wellmont Holston Valley Medical Center
- Tennova Healthcare-Jefferson Memorial Hospital
- Greeneville Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 20 |
| Removal of tissue | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82815 | GA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Urology, PC | Single Specialty | Current | Accepting new patients |
Locations
1240 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (770) 532-8438
Organizations & group practices 2
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 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tennova Healthcare-Jefferson Memorial Hospital
- General Acute Care Hospital
- Jefferson City, TN
- NPI 1972585347
-
dba Morristown Hamblen Healthcare System
- General Acute Care Hospital
- Morristown, TN
- NPI 1912997024
-
dba Ballad Health Medical Associates
- General Acute Care Hospital
- Greeneville, TN
- NPI 1699819003
-
dba University of Tennessee Medical Center
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
-
dba Holston Valley Medical Center
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1386059368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1928 ALCOA HWY STE B222",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201504",
"telephone_number": "865-305-9254",
"fax_number": "865-305-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1928 ALCOA HWY STE B222",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201504",
"telephone_number": "865-305-9254",
"fax_number": "865-305-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELLE",
"first_name": "JONATHAN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-27",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "82815",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "62293",
"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 Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.