John S Burrell, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD0000004016 Issued in TN

Practice address

130 Independence LN
La Follette, TN 37766-3031

Phone

(423) 562-1705

Fax

(423) 566-3718

NPI assigned

Jun 10, 2005

Last updated

Jun 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Tennessee, HSC, College of Medicine, 1960

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health of East Tennessee IncGroup PAC ID 7618887803, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Tennessee Home health agency, Tazewell, TN, CCN 447188
• Lafollette Medical Center Hospital, La Follette, TN, CCN 440033
• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.burrell.p1@direct.chetn.nextgenshare.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Community Health of East Tennessee, Inc

  • Federally Qualified Health Center (FQHC)
  • La Follette, TN
  • NPI 1750382164

  W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health of East Tennessee, Inc

  • Federally Qualified Health Center (FQHC)
  • La Follette, TN
  • NPI 1750382164
  Medicare reassignment Care Compare group NPD

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

• Campbell County Hma, LLC

  dba Tennova Healthcare-LaFollette Medical Center

  • General Acute Care Hospital
  • La Follette, TN
  • NPI 1639151301
  Care Compare affiliation
• Comprehensive Home Healthcare Services LLC

  dba Amedisys Home Health of Tennessee

  • Home Health Agency
  • Tazewell, TN
  • NPI 1639149586
  Care Compare affiliation
• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1528062197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 STEPHENS RD",
            "city": "LAKE CITY",
            "state": "TN",
            "postal_code": "377696126",
            "telephone_number": "865-426-6719",
            "fax_number": "423-566-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663031",
            "telephone_number": "423-562-1705",
            "fax_number": "423-566-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD0000004016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3099443",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristan Faith Brock, COTA/L
• Mallory Jo Brooks, NP
• Judith C Bryson, FNP
• Tammy Denise Buckner, RPH
• Lindsey Presley Bull, DO
• Gary Adam Byrd
• Johnny M Byrge
• Jaime Davis Byrum, PNP, FNP
• Campbell County Hma LLC
• Campbell County Hma LLC (Tennova LaFollette Medical Center Clinic)

• General Practice Physician in La Follette, TN
• Providers in La Follette, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.