Organization Active NPI

Priority Telemedicine Group, P.a.

  • Emergency Medicine Physician
  • Knoxville, TN
National Provider Identifier
1396420139
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PRIORITY TELEMEDICINE GROUP, P.A.
Practice address
9721 Cogdill Rd Ste 302
Knoxville, TN 37932-3425
Phone
(865) 888-5131
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Robert Jewell
Title
Chief Revenue Integration Officer
Phone
(844) 597-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

9721 Cogdill Rd Ste 302
Knoxville, TN 37932-3425

Mailing address

9721 Cogdill Rd Ste 302
Knoxville, TN 37932-3425
Phone (865) 888-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, AL, MS, SC, IN, AZ, NY, VA9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20231003000633 TN Part B Supplier - Clinic/Group Practice 0446604920 Receives reassigned benefits from 7 practitioners
Practice locations: Knoxville, TN
O20231116000725 GA Part B Supplier - Clinic/Group Practice 0446604920 Receives reassigned benefits from 6 practitioners
Practice locations: Austell, GA
O20231129002424 AL Part B Supplier - Clinic/Group Practice 0446604920 Receives reassigned benefits from 6 practitioners
Practice locations: Bessemer, AL
O20231130001716 MS Part B Supplier - Clinic/Group Practice 0446604920 Receives reassigned benefits from 6 practitioners
Practice locations: New Albany, MS
O20231206003305 SC Part B Supplier - Clinic/Group Practice 0446604920 Receives reassigned benefits from 6 practitioners
Practice locations: Anderson, SC
O20231218000474 IN Part B Supplier - Clinic/Group Practice 0446604920 Receives reassigned benefits from 6 practitioners
Practice locations: Indianapolis, IN
O20240102003178 AZ Part B Supplier - Clinic/Group Practice 0446604920 Receives reassigned benefits from 6 practitioners
Practice locations: Scottsdale, AZ
O20240103003031 NY Part B Supplier - Clinic/Group Practice 0446604920 Receives reassigned benefits from 6 practitioners
Practice locations: Utica, NY
O20240103003819 VA Part B Supplier - Clinic/Group Practice 0446604920 Receives reassigned benefits from 6 practitioners
Practice locations: Fredericksburg, VA

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
44D2337969Priority Telemedicine Group, PA9721 Cogdill Road, Suite 302, Knoxville, TN 37932Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

Locations

1110 Greenwood Xing
Bessemer, AL 35022
Phone (865) 888-5131

118 State Highway 15 N
New Albany, MS 38652
Phone (865) 888-5131

1011 Ella St
Anderson, SC 29621
Phone (864) 225-6286

Practitioners & affiliated clinicians

Practitioners 6

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": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1396420139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 COGDILL RD STE 302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323425",
            "telephone_number": "865-888-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 COGDILL RD STE 302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323425",
            "telephone_number": "865-888-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY TELEMEDICINE GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF REVENUE INTEGRATION OFFICER",
        "authorized_official_telephone_number": "844-597-4911"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "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 Jun 20, 2023; 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.