Individual provider Active NPI

T Darrell Thomas, MD

  • Neurology Physician
  • Knoxville, TN
National Provider Identifier
1477527901
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
TN020467 Issued in TN
Practice address
501 20TH St
Suite 505
Knoxville, TN 37916-1809
Phone
(865) 546-0157
Fax
(865) 546-6144
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X TN020467 TN Primary

Addresses

Primary practice location

501 20TH St
Suite 505
Knoxville, TN 37916-1809

Mailing address

501 20TH St Ste 505
Knoxville, TN 37916-1869
Phone (865) 546-0157

Other identifiers 2

IdentifierTypeStateIssuer
3858947MedicaidTN
TN020467OtherTNLICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001143 TN Practitioner - Neurology 0345238457 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TN020467TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Jan 1, 2019 Accepting new patients
Fort Sanders Regional Medical Center CurrentSince May 19, 2016 Accepting new patients
Covenant Medical Group, Inc. Neurology CurrentSince Jan 1, 2019 Accepting new patients
Cocke County Hma, LLC Past Accepting new patients
Cocke County Hma LLC Past Accepting new patients

Locations

501 20th St
Ste 505
Knoxville, TN 37916
Phone (865) 546-0157

501 20th St
Ste 110
Knoxville, TN 37916
Phone (615) 984-3417

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

Dept 888179
Knoxville, TN 37995

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

Dept 888001
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1477527901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 505",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161869",
            "telephone_number": "865-546-0157",
            "fax_number": "865-546-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "address_2": "SUITE 505",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161809",
            "telephone_number": "865-546-0157",
            "fax_number": "865-546-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "T",
        "middle_name": "DARRELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "TN020467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3858947",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TN020467",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.