Individual provider Active NPI

Peter C Coulson, M.D.

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1427460732
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
55833 Issued in TN
Practice address
2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Phone
(865) 766-6870
NPI assigned
May 21, 2014
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 55833 TN Primary

Addresses

Primary practice location

2001 Laurel Ave # N304
Knoxville, TN 37916-1810

Mailing address

414 N Forest Park Blvd Apt 716
Knoxville, TN 37919-5174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200522001244 TN Practitioner - Diagnostic Radiology 1355762600 Reassigns benefits to 4 organizations
I20220328002481 MS Practitioner - Diagnostic Radiology 1355762600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Radiology, PCGroup PAC ID 9234041559, 64 clinicians

Practice addresses (Care Compare)

2001 Laurel Ave
Suite N304
Knoxville, TN 37916-1810
Phone (865) 546-9484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
75.62
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55833TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Radiology Services LLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Covenant Health Diagnostic Centers, LLC CurrentSince Jan 3, 2022 Accepting new patients
Vista Radiology, PC. Diagnostic Radiology CurrentSince Jul 15, 2020 Accepting new patients
Covenant Health Diagnostic Centers, LLC CurrentSince Jan 3, 2022 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients

Locations

10 Little Brook Rd
West Wareham, MA 02576

7420 Guthrie Dr N
Ste 105
Southaven, MS 38671
Phone (716) 435-5044

266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864

210 Fort Sanders West Blvd
Bldg 3
Knoxville, TN 37922
Phone (865) 531-5200

4709 Papermill Dr
Ste 201
Knoxville, TN 37909

Dept 888302
Knoxville, TN 37995

Dept 888606
Knoxville, TN 37995

Interoperability endpoints

  • Direct secure messaging: pcoulson872651@direct.ghs.myhfn.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1427460732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N FOREST PARK BLVD APT 716",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE # N304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-766-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULSON",
        "first_name": "PETER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "55833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.