Individual provider Active NPI

Jeff E Flickinger, M.D.

  • Urology Physician
  • Knoxville, TN
National Provider Identifier
1497755458
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD0000024828 Issued in TN
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

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1669416442OtherTNGROUP NPI
020252399OtherTNEEOICP
3813049MedicaidTN
3106057OtherTNBLUE CROSS
3106069OtherTNBLUE CROSS
CI2260OtherTNRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000050 TN Practitioner - Urology 1850480872 Reassigns benefits to 1 organization

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
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

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 Home health agency, Knoxville, TN, CCN 447139
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

Merit-based Incentive Payment System (MIPS)

Final score
80.69 of 100Reported as individual
Quality
71.71
Promoting interoperability
100
Improvement activities
30

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000024828TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Jan 4, 2016 Accepting new patients
Covenant Medical Group, Inc. Urology CurrentSince Jan 4, 2016 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.