Active NPI
David J. Harrell, M.D.
- Surgery Physician
- Powell, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD 29357
- Practice address
- 7714 Conner Rd Ste 103
Powell, TN 37849-3559 - Phone
- (865) 938-8121
- Fax
- (865) 212-5561
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 29357 | TN | |
| Surgery Physician | 208600000X | MD 29357 | TN | Primary |
Addresses
Primary practice location
7714 Conner Rd Ste 103
Powell, TN 37849-3559
Mailing address
PO Box 52948
Knoxville, TN 37950-2948
Phone (865) 306-5675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3811775 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Baylor College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7565 Dannaher Way
Powell, TN 37849-4029
Phone (865) 938-8121
9430 Parkwest Blvd
Suite 310
Knoxville, TN 37923-4203
Phone (865) 690-5263
Hospital & facility affiliations
- Physicians Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.3 of 100
- Quality
- 64.09
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.69
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 20 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 29357 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Surgical Associates, PLLC | Surgery | Current | Accepting new patients |
| Premier Surgical Associates, PLLC | Surgery | Current | Accepting new patients |
| Metro Knoxville Hma LLC | Past | Accepting new patients |
Locations
6408 Papermill Dr
Ste 220
Knoxville, TN 37919
Phone (865) 306-5675
6408 Papermill Dr
Knoxville, TN 37919
Phone (865) 306-5680
9430 Park West Blvd
Ste 310
Knoxville, TN 37923
Phone (865) 984-3413
Dept 888067
Knoxville, TN 37995
7557 Dannaher Dr
Ste 110
Powell, TN 37849
Phone 86530657751005
7714 Conner Rd
Ste 103
Powell, TN 37849
Phone (865) 938-6725
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71045
Organizations & group practices 3
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.
-
- Surgery Physician
- Knoxville, TN
- NPI 1750449443
-
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1457468837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52948",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379502948",
"telephone_number": "865-306-5675",
"fax_number": "865-584-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7714 CONNER RD STE 103",
"city": "POWELL",
"state": "TN",
"postal_code": "378493559",
"telephone_number": "865-938-8121",
"fax_number": "865-212-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "DAVID",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "TN",
"license": "29357",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "MD 29357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3811775",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.