Individual provider Active NPI

Gregory John Mancini, MD

  • Surgery Physician
  • Knoxville, TN
National Provider Identifier
1548211857
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
40807 Issued in TN
Practice address
1934 Alcoa Hwy Ste 285
Knoxville, TN 37920-1528
Phone
(865) 305-9620
Fax
(865) 525-3460
NPI assigned
May 12, 2006
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 40807 TN Primary

Addresses

Primary practice location

1934 Alcoa Hwy Ste 285
Knoxville, TN 37920-1528

Mailing address

1934 Alcoa Hwy Ste 285
Knoxville, TN 37920-1528
Phone (865) 305-9620

Other identifiers 1

IdentifierTypeStateIssuer
3816963MedicaidTN

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
I20060811000227 TN Practitioner - General Surgery 2567492473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Mercer University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1934 Alcoa Hwy
Suite 285
Knoxville, TN 37920-1528
Phone (865) 305-9620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40807TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Jul 1, 2022 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc Surgery CurrentSince Jul 1, 2022 Accepting new patients
University Health System, Inc. Past Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1924 Alcoa Hwy
#U11
Knoxville, TN 37920
Phone (865) 305-9230

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1934 Alcoa Hwy
Ste 285
Knoxville, TN 37920
Phone (865) 305-9620

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1548211857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 ALCOA HWY STE 285",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201528",
            "telephone_number": "865-305-9620",
            "fax_number": "865-525-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 ALCOA HWY STE 285",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201528",
            "telephone_number": "865-305-9620",
            "fax_number": "865-525-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "40807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3816963",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.