Individual provider Active NPI

Emily Mithoefer Edwards, DO

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1497067045
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2530 Issued in TN
Practice address
7211 Wellington Dr
Knoxville, TN 37919-5968
Phone
(865) 584-5762
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2530 TN Primary

Addresses

Primary practice location

7211 Wellington Dr
Knoxville, TN 37919-5968

Mailing address

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747

Other names 1

  • Emily Winslow Mithoefer Former name

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
I20130821000087 TN Practitioner - Family Practice 4789827882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344

103 Midlake Dr Level
Knoxville, TN 37918-3039
Phone (865) 687-7704

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627

1275 Dick Lonas Rd
Knoxville, TN 37909-1326

1819 W Clinch Ave
Suite 114
Knoxville, TN 37916-2435
Phone (865) 524-1631

201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627

7211 Wellington Dr
Knoxville, TN 37919-5968

Hospital & facility affiliations

  • University of TN Medical Center Home Care Services Home health agency, Knoxville, TN, CCN 447230
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2530TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
University Health System Inc CurrentSince Jul 1, 2013 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 1, 2016 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 1, 2016 Accepting new patients
University Health System, Inc Current Accepting new patients
Summit Medical Group, PLLC Family Medicine Past Accepting new patients

Locations

1924 Pinnacle Pointe Way
Ste 100
Knoxville, TN 37922
Phone (865) 584-5762

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

7211 Wellington Dr
Ste 201
Knoxville, TN 37919
Phone (865) 584-5762

2587 Willow Point Way
Knoxville, TN 37931
Phone (865) 470-2560

2519 Willow Point Way
Knoxville, TN 37931
Phone (865) 694-9349

Interoperability endpoints

  • Direct secure messaging: emily.edwards.1@20785.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1497067045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092604",
            "telephone_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 WELLINGTON DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195968",
            "telephone_number": "865-584-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "EMILY",
        "middle_name": "MITHOEFER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MITHOEFER",
            "middle_name": "WINSLOW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.