Active NPI
T Darrell Thomas, MD
- Neurology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- TN020467
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3858947 | Medicaid | TN | |
| TN020467 | Other | TN | LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN020467 | TN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Fort Sanders Regional Medical Center | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Neurology | Current | 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.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Certified Registered Nurse Anesthetist
- Newport, TN
- NPI 1104515782
-
- General Acute Care Hospital
- Newport, TN
- NPI 1972576247
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.