Individual provider Active NPI

John Burr Robertson Jr., MD

  • Addiction Psychiatry Physician
  • Knoxville, TN
National Provider Identifier
1407840481
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
MD0000021455 Issued in TN
Practice address
10241 Kingston Pike
Suite 1 and 2
Knoxville, TN 37922-3240
Phone
(865) 691-1165
Fax
(865) 690-6042
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD0000021455 TN
Addiction Psychiatry Physician 2084P0802X MD0000021455 TN Primary
Child & Adolescent Psychiatry Physician 2084P0804X MD0000021455 TN

Addresses

Primary practice location

10241 Kingston Pike
Suite 1 and 2
Knoxville, TN 37922-3240

Mailing address

10241 Kingston Pike
Suite 1 and 2
Knoxville, TN 37922-3240
Phone (865) 691-1165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 28, 2013 through Mar 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000021455TNMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMS of East Tennessee PLLC PastSince Nov 3, 2019 Accepting new patients
Center for Family Psychiatry PC Psychiatry Past Accepting new patients
Focus Physiotherapy PastSince Jun 29, 2006 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407840481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10241 KINGSTON PIKE",
            "address_2": "SUITE 1 AND 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223240",
            "telephone_number": "865-691-1165",
            "fax_number": "865-690-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10241 KINGSTON PIKE",
            "address_2": "SUITE 1 AND 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223240",
            "telephone_number": "865-691-1165",
            "fax_number": "865-690-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JOHN",
        "middle_name": "BURR",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000021455",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TN",
            "license": "MD0000021455",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "MD0000021455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.