Organization Active NPI

TPC Medical, LLC

  • Pain Clinic/Center
  • Knoxville, TN
National Provider Identifier
1437806791
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
TPC MEDICAL, LLC
Practice address
4320 Ball Camp Pike
Knoxville, TN 37921-3312
Phone
(865) 357-4380
Fax
(865) 357-4385
NPI assigned
Mar 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Mr. Ian Clarke
Title
Ceo
Phone
(561) 537-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

4320 Ball Camp Pike
Knoxville, TN 37921-3312

Mailing address

3609 Outdoor Sportsman PL Ste 4
Kodak, TN 37764-1477
Phone (561) 537-0370

National Provider Directory

National Provider Directory

Locations

3609 Outdoor Sportsman Pl
Ste 4
Kodak, TN 37764

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1437806791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 OUTDOOR SPORTSMAN PL STE 4",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377641477",
            "telephone_number": "561-537-0370",
            "fax_number": "865-292-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 BALL CAMP PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213312",
            "telephone_number": "865-357-4380",
            "fax_number": "865-357-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPC MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-537-0370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "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 Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.