University of Tennessee

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNIVERSITY OF TENNESSEE

Practice address

1999 Highway 51 S
Covington, TN 38019-3630

Phone

(901) 476-4457

Fax

(901) 475-4389

NPI assigned

Aug 15, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joan L Porter

Title

Manager

Phone

(731) 664-0994

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• University of Tennessee

  • Oral and Maxillofacial Surgery (Dentist)
  • Memphis, TN
  • NPI 1215012430

  O20031119000671

  Same enrollment
• University of Tennessee

  dba UT Internal Medicine & Ob/Gyn Center

  • Multi-Specialty Clinic/Center
  • Knoxville, TN
  • NPI 1295751386

  O20040110000145

  Same enrollment
• University of Tennessee

  dba Center on Developmental Disabilities

  • Developmental Disabilities Clinic/Center
  • Memphis, TN
  • NPI 1427064880

  O20040110000145

  Same enrollment
• University of Tennessee

  • Oral and Maxillofacial Pathology Dentistry
  • Memphis, TN
  • NPI 1487723094

  O20031119000671

  Same enrollment
• University of Tennessee

  dba UT Genetics Center

  • Ph.D. Medical Genetics
  • Knoxville, TN
  • NPI 1518037183

  O20040110000145

  Same enrollment
• University of Tennessee

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1598767980

  O20031119000671, O20040110000145

  Same enrollment
• University of Tennessee

  dba University Family Physicians

  • Multi-Specialty Clinic/Center
  • Knoxville, TN
  • NPI 1689631137

  O20040110000145

  Same enrollment
• University of Tennessee

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1780686170

  O20031119000671

  Same enrollment
• University of Tennessee

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1780686436

  O20031119000671, O20040110000145

  Same enrollment

Locations

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407858897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BRENTSHIRE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052203",
            "telephone_number": "731-664-0994",
            "fax_number": "731-664-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193630",
            "telephone_number": "901-476-4457",
            "fax_number": "901-475-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "731-664-0994"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3713024",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiptop Transit LLC
• Allison Toliver
• Total Transit LLC
• Shantell Tremble
• Yamina L Tunstall
• Deborah L Vanbeukering, D.O.
• Andrew Richard Vancleve, DPH
• Robyn Y. Vanderford, FNP
• Huy VI
• Carroll Logan Vincent, APN ,PMHNP- BC

• Family Medicine Physician in Covington, TN
• Providers in Covington, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.