Cecil Dewayne Knight, M.D., ATC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

TN 010104 MD Issued in TN

Practice address

2003 Parker Street McKenzie Athletic Facility
Lee University Box 3450
Cleveland, TN 37320-3450

Phone

(423) 614-8437

Fax

(423) 614-8438

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. C. Dewayne Knight Professional name

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Life Bridges, Inc

  • Family Medicine Physician
  • Cleveland, TN
  • NPI 1700928876

  TN

  Medicare reassignment NPD
• Bradley/Cleveland Developmental Services

  • Speech/Language/Hearing Specialist/Technologist
  • Cleveland, TN
  • NPI 1376647479
  NPD (past)
• Cleveland Medical Clinic Inc

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
  • NPI 1457350951
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508909599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CENTENARY AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373114423",
            "telephone_number": "423-614-8437",
            "fax_number": "423-614-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 PARKER STREET MCKENZIE ATHLETIC FACILITY",
            "address_2": "LEE UNIVERSITY BOX 3450",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373203450",
            "telephone_number": "423-614-8437",
            "fax_number": "423-614-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "CECIL",
        "middle_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D., ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": "TN 010104 MD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "KNIGHT",
            "middle_name": "DEWAYNE",
            "prefix": "DR.",
            "credential": "M.D., ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lynda J. Klee, AU.D.
• James L Knabb, MD
• Kellie Humbert Knapp, LPC-MHSP
• Steven Taylor Knapp, M.S.
• Heidi B Knecht, RN
• Jeffrey Alan Knight
• Daisja Knox
• Cayci Koeneman, MS
• Holly Kohler
• Seth Konkel

• Student in an Organized Health Care Education/Training Program in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Student in an Organized Health Care Education/Training Program in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.