Active NPI
Farrell D Pierson, M.D.
- Cardiovascular Disease Physician
- Crossville, TN
National Provider Identifier
1467417105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD30015
- Practice address
- 456 Wayne Ave
Crossville, TN 38555-4206 - Phone
- (931) 484-6129
- Fax
- (931) 484-2685
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD30015 | TN | Primary |
Addresses
Primary practice location
456 Wayne Ave
Crossville, TN 38555-4206
Mailing address
2330 Southern Shade Blvd
Knoxville, TN 37932-1686
Phone (865) 670-7675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64721517 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD30015 | TN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Knoxville Heart, P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Parkwest Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
- Cardiovascular Disease Physician
- Knoxville, TN
- NPI 1457316135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1467417105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 SOUTHERN SHADE BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321686",
"telephone_number": "865-670-7675",
"fax_number": "865-381-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 WAYNE AVE",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385554206",
"telephone_number": "931-484-6129",
"fax_number": "931-484-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "FARRELL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "MD30015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64721517",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.