Active NPI
Jeff E Flickinger, M.D.
- Urology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD0000024828
- Practice address
- 2001 Laurel Ave
Suite 502
Knoxville, TN 37916-1810 - Phone
- (865) 331-9000
- Fax
- (865) 331-7000
- NPI assigned
- Jul 29, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD0000024828 | TN | Primary |
Addresses
Primary practice location
2001 Laurel Ave
Suite 502
Knoxville, TN 37916-1810
Mailing address
2001 Laurel Ave
Suite 502
Knoxville, TN 37916-1810
Phone (865) 331-9000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669416442 | Other | TN | GROUP NPI |
| 020252399 | Other | TN | EEOICP |
| 3813049 | Medicaid | TN | |
| 3106057 | Other | TN | BLUE CROSS |
| 3106069 | Other | TN | BLUE CROSS |
| CI2260 | Other | TN | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | flickinger.jeff@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Vanderbilt University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Champion Physical Therapy LLC Halls
Practice addresses (Care Compare)
111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554
121 N Calderwood St
Alcoa, TN 37701-2109
Phone (865) 336-9188
1901 W Clinch Ave
Suite 303
Knoxville, TN 37916-2307
Phone (865) 541-1375
2001 Laurel Ave
Suite 502
Knoxville, TN 37916-1876
Phone (865) 522-6005
205 Corporate PL
Alcoa, TN 37701-1940
Phone (865) 981-1223
6600 Nightingale LN
Knoxville, TN 37909-2754
Phone (865) 632-5885
Hospital & facility affiliations
- Covenant Homecare
- Fort Sanders Regional Medical Center
- Parkwest Medical Center
- Leconte Medical Center
- Fort Loudoun Medical Center
- Morristown Hamblen Hospital Association
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.69 of 100
- Quality
- 71.71
- Promoting interoperability
- 100
- Improvement activities
- 30
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000024828 | TN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Urology | Current | Accepting new patients |
| Fort Sanders Regional Medical Center | Past | Accepting new patients |
Locations
205 Corporate Pl
Alcoa, TN 37701
Phone (865) 331-9050
2001 Laurel Ave
Ste 502
Knoxville, TN 37916
Phone (865) 331-9000
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Knoxville, TN
- NPI 1982690640
-
- General Acute Care Hospital
- Lenoir City, TN
- NPI 1609860659
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
-
- General Acute Care Hospital
- Sevierville, TN
- NPI 1528052578
-
- General Acute Care Hospital
- Morristown, TN
- NPI 1912997024
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1497755458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 LAUREL AVE",
"address_2": "SUITE 502",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161810",
"telephone_number": "865-331-9000",
"fax_number": "865-331-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 LAUREL AVE",
"address_2": "SUITE 502",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161810",
"telephone_number": "865-331-9000",
"fax_number": "865-331-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLICKINGER",
"first_name": "JEFF",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "MD0000024828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1669416442",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EEOICP",
"identifier": "020252399",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3813049",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3106057",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3106069",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI2260",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "flickinger.jeff@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "2001 Laurel Ave",
"address_2": "Suite 502",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379161810",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 29, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.