Active NPI
Glenfield Samuel Knight, M.D.
- Diagnostic Radiology Physician
- Nashville, TN
National Provider Identifier
1407823628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 40615
- Practice address
- 1005 D. B. Todd Blvd
Nashville, TN 37208 - Phone
- (615) 327-5617
- Fax
- (615) 327-5992
- NPI assigned
- Mar 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 40615 | TN | Primary |
Addresses
Primary practice location
1005 D. B. Todd Blvd
Nashville, TN 37208
Mailing address
1005 D. B. Todd Blvd
Nashville, TN 37208
Phone (615) 327-5617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3336272 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40615 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Tennessee, Inc. | Past | Accepting new patients | |
| Lallie Kemp Medical Ctr | Past | Accepting new patients |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407823628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 D. B. TODD BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37208",
"telephone_number": "615-327-5617",
"fax_number": "615-327-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 D. B. TODD BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37208",
"telephone_number": "615-327-5617",
"fax_number": "615-327-5992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "GLENFIELD",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "40615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3336272",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.