Individual provider Active NPI

Jean Nicholas McGuire III, MD

  • General Practice Physician
  • Knoxville, TN
National Provider Identifier
1558597765
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
44443 Issued in TN
Practice address
2001 Highland Ave
Knoxville, TN 37916-1217
Phone
(865) 633-0353
Fax
(865) 633-0356
NPI assigned
Jun 2, 2009
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 44443 TN Primary

Addresses

Primary practice location

2001 Highland Ave
Knoxville, TN 37916-1217

Mailing address

2001 Highland Ave
Knoxville, TN 37916-1217
Phone (865) 633-0353

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
I20091009000490 TN Practitioner - Anesthesiology 4587700257 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York Medical College, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Revida Recovery Centers PCGroup PAC ID 1153657473, 28 clinicians

Practice addresses (Care Compare)

2001 Highland Ave
Knoxville, TN 37916-1217
Phone (865) 633-0353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44443TNMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revida Recovery Centers, PC CurrentSince Sep 19, 2023 Accepting new patients
Spero Health of Tennessee, LLC CurrentSince May 12, 2022 Accepting new patients

Locations

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

4140 Thornton Taylor Pkwy
Ste D
Fayetteville, TN 37334
Phone (931) 434-8109

712 Professional Plaza Dr
Greeneville, TN 37745
Phone (423) 820-0432

5864 Highway 153
Ste 112
Hixson, TN 37343
Phone (423) 243-3342

5870 Highway 153
Ste 122
Hixson, TN 37343
Phone (423) 243-3342

3114 Browns Mill Rd
Johnson City, TN 37604
Phone (423) 282-5611

2001 Highland Ave
Knoxville, TN 37916
Phone (865) 633-0353

2911 Essary Dr
Ste 200
Knoxville, TN 37918
Phone (865) 371-8101

501 Adesa Blvd
Ste 300
Lenoir City, TN 37771
Phone (865) 988-6922

230 Bowman St
Morristown, TN 37813
Phone (423) 586-1356

3322 West End Ave
Ste 350
Nashville, TN 37203

330 Heritage Blvd
Newport, TN 37821
Phone (423) 623-7043

106 Administration Rd
Ste 3
Oak Ridge, TN 37830
Phone (865) 276-6212

11618 Chapman Hwy
Ste A
Seymour, TN 37865
Phone (865) 505-2813

301 Wolverine Trl
Ste 200
Smyrna, TN 37167
Phone (615) 459-5228

161 Mose Dr
Sparta, TN 38583
Phone (931) 222-0139

127 Ledford Mill Rd
Tullahoma, TN 37388
Phone (931) 841-3311

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sperohealth/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1558597765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HIGHLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161217",
            "telephone_number": "865-633-0353",
            "fax_number": "865-633-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HIGHLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161217",
            "telephone_number": "865-633-0353",
            "fax_number": "865-633-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "JEAN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "44443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.