Active NPI
John Burr Robertson Jr., MD
- Addiction Psychiatry Physician
- Knoxville, TN
National Provider Identifier
1407840481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- MD0000021455
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000021455 | TN | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS of East Tennessee PLLC | Past | Accepting new patients | |
| Center for Family Psychiatry PC | Psychiatry | Past | Accepting new patients |
| Focus Physiotherapy | Past | 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.
-
- Physical Therapist
- Knoxville, TN
- NPI 1275638611
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1033752597
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.