NPIMap

Individual provider Active NPI

Jimmy D Gentry II, M.D.

  • Nephrology Physician
  • Knoxville, TN
National Provider Identifier
1467896365
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
62109 Issued in TN
Practice address
6311 Kingston Pike Ste 26W
Knoxville, TN 37919-4900
Phone
(865) 674-9193
Fax
(865) 409-5688
NPI assigned
Apr 22, 2013
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 62109 TN Primary

Addresses

Primary practice location

6311 Kingston Pike Ste 26W
Knoxville, TN 37919-4900

Mailing address

6311 Kingston Pike Ste 26W
Knoxville, TN 37919-4900
Phone (865) 674-9193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201204002583 TN Practitioner - NephrologyPractitioner - Internal Medicine 7719291582 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Tennessee River Medical Group PCGroup PAC ID 3678002805, 3 clinicians

Practice addresses (Care Compare)

6311 Kingston Pike
Suite 26W
Knoxville, TN 37919-4900
Phone (865) 674-9193

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Nephrology PC Nephrology CurrentSince Aug 26, 2020 Accepting new patients
Tennessee River Medical Group PC Internal Medicine CurrentSince Nov 15, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 31, 2024 Accepting new patients

Locations

2001 Laurel Ave
Ste 206
Knoxville, TN 37916
Phone (423) 525-4333

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

6311 Kingston Pike
Ste 26W
Knoxville, TN 37919
Phone (208) 761-1210

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGAED/Endpoint/DCGAED
  • Direct secure messaging: jimmy.gentry.1@31472.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1467896365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 26W",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194900",
            "telephone_number": "865-674-9193",
            "fax_number": "865-409-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 26W",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194900",
            "telephone_number": "865-674-9193",
            "fax_number": "865-409-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "JIMMY",
        "middle_name": "D",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "62109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.