Individual provider Active NPI

Mark Reddington, D.O.

  • Emergency Medicine Physician
  • Seymour, TN
National Provider Identifier
1548426604
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2258 Issued in TN
Practice address
11560 Chapman Hwy
Suite 1
Seymour, TN 37865-5044
Phone
(865) 577-1914
Fax
(865) 577-1714
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2258 TN Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 2258 TN

Addresses

Primary practice location

11560 Chapman Hwy
Suite 1
Seymour, TN 37865-5044

Mailing address

11560 Chapman Hwy
Suite 1
Seymour, TN 37865-5044
Phone (865) 577-1914

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
I20110624000424 TN Practitioner - Emergency Medicine 2567593379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

908 W 4TH N St
Morristown, TN 37814-3894
Phone (423) 586-4231

Hospital & facility affiliations

  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2258TNMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Chuc, LLC Emergency Medicine CurrentSince Jun 24, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 28, 2024 Accepting new patients
Riverwood Emergency Services Inc. Emergency Medicine Past Accepting new patients
Lucas County Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Abercrombie Radiological Consultants Inc PastSince Jun 24, 2024 Accepting new patients
Northwest Ohio Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Noes/Paulding, LTD Emergency Medicine Past Accepting new patients

Locations

117 Gill St
Alcoa, TN 37701
Phone (865) 982-3409

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

726 McFarland St
Morristown, TN 37814
Phone (423) 522-6160

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

653 Merchants Greene Blvd
Morristown, TN 37813
Phone (423) 492-6900

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

Organizations & group practices 8

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 2

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1548426604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 CHAPMAN HWY",
            "address_2": "SUITE 1",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655044",
            "telephone_number": "865-577-1914",
            "fax_number": "865-577-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 CHAPMAN HWY",
            "address_2": "SUITE 1",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655044",
            "telephone_number": "865-577-1914",
            "fax_number": "865-577-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDINGTON",
        "first_name": "MARK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "2258",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TN",
            "license": "2258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

Verify at the official NPI Registry.