Individual provider Active NPI

Marshall David Stockton, MD, MPH

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1437116944
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD11393 Issued in TN
Practice address
1924 Alcoa Hwy
U-115
Knoxville, TN 37920-1511
Phone
(865) 305-9351
Fax
(865) 305-9314
NPI assigned
Apr 27, 2006
Last updated
Jun 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD11393 TN Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD11393 TN
Occupational Medicine Physician 2083X0100X MD11393 TN

Addresses

Primary practice location

1924 Alcoa Hwy
U-115
Knoxville, TN 37920-1511

Mailing address

1924 Alcoa Hwy
U-67
Knoxville, TN 37920-1511
Phone (865) 305-9352

Other identifiers 11

IdentifierTypeStateIssuer
3373352OtherTNUFP MEDICAID GRP
1689631137OtherTNGROUP NPI
3049798OtherTNBLUE CROSS/BLUE SHIELD
TN0188OtherTNJOHN DEERE
01-42505OtherTNUNITED HEALTH CARE
080089336OtherTNRAILROAD MEDICARE
100010692OtherTNPHP TENNCARE
3185087MedicaidTN
6560974OtherTNCIGNA
3185089OtherTNAETNA
3373352OtherTNUFP MEDICARE GRP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040731000079 TN Practitioner - Family Practice 8921078387 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11393TNMDFamily Medicine Physician
11393TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee CurrentSince Aug 31, 1987 Accepting new patients
University of Tennessee Current Accepting new patients
University of Tennessee CurrentSince Aug 31, 1987 Accepting new patients
Ut Urgent Care Centers LLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients

Locations

1924 Alcoa Hwy
#U115
Knoxville, TN 37920
Phone (865) 544-9351

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

9625 Kroger Park Dr
Ste 300
Knoxville, TN 37922
Phone (865) 539-2287

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

Interoperability endpoints

  • Direct secure messaging: kimhealthcenter.davidstockton@156741.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1437116944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "U-67",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9352",
            "fax_number": "865-305-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "U-115",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9351",
            "fax_number": "865-305-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "MARSHALL",
        "middle_name": "DAVID",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD11393",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "MD11393",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TN",
            "license": "MD11393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UFP MEDICAID GRP",
            "identifier": "3373352",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1689631137",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "3049798",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0188",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "01-42505",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080089336",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TENNCARE",
            "identifier": "100010692",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3185087",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6560974",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3185089",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UFP MEDICARE GRP",
            "identifier": "3373352",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.