Individual provider Active NPI

Lawrence Hookman, M.D.

  • Interventional Cardiology Physician
  • Clinton, TN
National Provider Identifier
1487644019
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
19139 Issued in TN
Practice address
110 Executive Park Dr
Clinton, TN 37716-6876
Phone
(865) 494-9241
Fax
(865) 494-0895
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 19139 TN
Interventional Cardiology Physician 207RI0011X 19139 TN Primary

Addresses

Primary practice location

110 Executive Park Dr
Clinton, TN 37716-6876

Mailing address

110 Executive Park Dr
Clinton, TN 37716-6876
Phone (865) 494-9241

Other practice location 1

900 E Oak Hill Ave
Suite 600
Knoxville, TN 37917-4522
Phone (865) 525-6688

Other practice location 2

900 E Oak Hill Ave
Suite 600
Knoxville, TN 37917-4522
Phone (865) 525-6688

Other identifiers 1

IdentifierTypeStateIssuer
3859084MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hookman.lawrence@covenanthealth.cernerdirect.com

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
I20040810000503 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8022080159 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19139TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. Cardiovascular Disease CurrentSince Mar 1, 2018 Accepting new patients
Covenant Medical Group, Inc CurrentSince Mar 1, 2018 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jun 1, 2004 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jun 1, 2004 Accepting new patients
Crossville Medical Group PA Past Accepting new patients

Locations

110 Executive Park Dr
Clinton, TN 37716
Phone (865) 494-9241

103 Midlake Dr
Knoxville, TN 37918
Phone (865) 687-1973

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

Dept 888179
Knoxville, TN 37995

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

744 Middle Creek Rd
Ste 114
Sevierville, TN 37862
Phone (865) 446-9575

1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137

Interoperability endpoints

  • Direct secure messaging: hookman.lawrence@covenanthealth.cernerdirect.com

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1487644019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EXECUTIVE PARK DR",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166876",
            "telephone_number": "865-494-9241",
            "fax_number": "865-494-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EXECUTIVE PARK DR",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166876",
            "telephone_number": "865-494-9241",
            "fax_number": "865-494-0895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Oak Hill Ave",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379174522",
            "country_code": "US",
            "telephone_number": "865-525-6688",
            "fax_number": "865-525-0245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Oak Hill Ave",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379174522",
            "country_code": "US",
            "telephone_number": "865-525-6688",
            "fax_number": "865-525-0245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOKMAN",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "19139",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "19139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3859084",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hookman.lawrence@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "110 Executive Park Dr",
            "city": "Clinton",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377166876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, TN

Sources for this page

Verify at the official NPI Registry.