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

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.

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 (179 clinicians)

Practice addresses (Care Compare)

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000

Hospital & facility affiliations

  • Gallup Indian Medical Center Hospital · Gallup, NM · CCN 320061

Merit-based Incentive Payment System (MIPS)

Final score
78.18 of 100 (group)
Quality
61.12
Improvement activities
40
Cost
81.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of nail tissue15

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 IDStateProvider typePAC IDDetails
I20210224001226 TX Practitioner - Podiatry 1254322209 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DPM200005LAMDFoot & Ankle Surgery Podiatrist
DPM710TNMDFoot & Ankle Surgery Podiatrist
307187-501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center Current
since Feb 3, 2021
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1629138MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 4, 2011.

{
    "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

All providers in Smyrna, TN · Foot & Ankle Surgery Podiatrist in Tennessee

Sources for this page

Verify at the official NPI Registry.