Active NPI
Peter C Coulson, M.D.
- Diagnostic Radiology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 55833
- Practice address
- 2001 Laurel Ave # N304
Knoxville, TN 37916-1810 - Phone
- (865) 766-6870
- NPI assigned
- May 21, 2014
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1386698710
Diagnostic Radiology, TN
-
- Diagnostic Radiology Physician
- Maryville, TN
- NPI 1447210109
Diagnostic Radiology, TN
-
- Diagnostic Radiology Physician
- Southaven, MS
- NPI 1184185092
Diagnostic Radiology, MS, TN
-
- Physiological Laboratory
- Knoxville, TN
- NPI 1437886918
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
Hospital
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, PC
Practice addresses (Care Compare)
2001 Laurel Ave
Suite N304
Knoxville, TN 37916-1810
Phone (865) 546-9484
Hospital & facility affiliations
- Parkwest Medical Center
- Fort Sanders Regional Medical Center
- Starr Regional Medical Center Athens
- Fort Loudoun Medical Center
- Leconte Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 75.62
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200522001244 | TN | Practitioner - Diagnostic Radiology | 1355762600 | Reassigns benefits to 4 organizations |
| I20220328002481 | MS | Practitioner - Diagnostic Radiology | 1355762600 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leconte Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Covenant Health Diagnostic Centers, LLC | Current | Accepting new patients | |
| North Mississippi Radiology Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Covenant Health Diagnostic Centers, LLC | Current | Accepting new patients | |
| Vista Radiology, PC. | Diagnostic Radiology | Current | 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
Dept 888606
Knoxville, TN 37995
Dept 888302
Knoxville, TN 37995
4709 Papermill Dr
Ste 201
Knoxville, TN 37909
210 Fort Sanders West Blvd
Bldg 3
Knoxville, TN 37922
Phone (865) 531-5200
Interoperability endpoints
- pcoulson872651@direct.ghs.myhfn.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 55833 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Mailing address
414 N Forest Park Blvd Apt 716
Knoxville, TN 37919-5174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2020.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.