Jason R Knox, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Smyrna, TN
NPI 1477517167 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1477517167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- DPM710 (TN)
- Practice address
- 300 Stonecrest Blvd Ste 350
Smyrna, TN 37167-6860 - Phone
- (615) 220-8788
- Fax
- (615) 220-8688
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DHHS,PHS,Naihs, Gallup Indian Medical Center
Practice addresses (Care Compare)
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000
Hospital & facility affiliations
- Gallup Indian Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.18 of 100
- Quality
- 61.12
- Improvement activities
- 40
- Cost
- 81.87
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 28 |
| Removal of nail tissue | 15 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210224001226 | TX | Practitioner - Podiatry | 1254322209 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPM200005 | LA | MD | Foot & Ankle Surgery Podiatrist |
| DPM710 | TN | MD | Foot & Ankle Surgery Podiatrist |
| 307187-501 | UT | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current |
Accepting new patients | |
| Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | Past | Accepting new patients |
| Angelo P Morreale, DPM, a Prof Corp | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM710 | TN | Yes |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 307187-501 | UT | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM200005 | LA |
Addresses
Primary practice location
300 Stonecrest Blvd Ste 350
Smyrna, TN 37167-6860
Mailing address
300 Stonecrest Blvd Ste 350
Smyrna, TN 37167-6860
Phone (615) 220-8788
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629138 | Medicaid | LA |
NPI Registry JSON
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1477517167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 STONECREST BLVD STE 350",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676860",
"telephone_number": "615-220-8788",
"fax_number": "615-220-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STONECREST BLVD STE 350",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676860",
"telephone_number": "615-220-8788",
"fax_number": "615-220-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "JASON",
"middle_name": "R",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TN",
"license": "DPM710",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "UT",
"license": "307187-501",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "LA",
"license": "DPM200005",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629138",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, TN
- James Dale Kiser Jr.
- Mary Frank Kline
- Jacob Tyler Knight
- Jalyssa Knight
- Julie Christine Kniss
- Lydia Rose Koch
- Cora Konkobo
- Julia Koonce
- Jessica Lynn Kopas
- Elizabeth Hunt Kopiwoda
All providers in Smyrna, TN · Foot & Ankle Surgery Podiatrist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.