Individual provider Active NPI

Andrew Stephen Poole, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Knoxville, TN
National Provider Identifier
1568874022
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
60847 Issued in TN
Practice address
1819 Clinch Ave Ste 100
Knoxville, TN 37916-2435
Phone
(865) 524-5365
Fax
(865) 673-8007
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 60847 TN
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 60847 TN Primary

Addresses

Primary practice location

1819 Clinch Ave Ste 100
Knoxville, TN 37916-2435

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 243-8153

Other practice location 1

988 Oak Ridge Tpke Ste 100
Oak Ridge, TN 37830-6919
Phone (865) 483-8478

Other practice location 2

576 Ft Loudoun Med Ctr Dr Ste 100
Lenoir City, TN 37772-5676
Phone (865) 988-8667

Other practice location 3

6484 Kingston Pike
Knoxville, TN 37919-4863
Phone (865) 633-0235

Other practice location 4

961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Phone (865) 483-1906

Other practice location 5

744 Middle Creek Rd Ste 100
Sevierville, TN 37862-5036
Phone (865) 524-5365

Other identifiers 1

IdentifierTypeStateIssuer
Q056532MedicaidTN

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
I20200522002665 TN Practitioner - Orthopedic Surgery 7012136005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Tennessee, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

11719 Chapman Hwy 104
Seymour, TN 37865-5264
Phone (865) 377-3176

1819 Clinch Ave
Knoxville, TN 37916-2435

6484 Kingston Pike
Knoxville, TN 37919-4863
Phone (865) 633-0235

8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600

9430 Park W Blvd
Suite 235
Knoxville, TN 37923-4207
Phone (865) 690-4861

988 Oak Ridge Tpke
Suite 100
Oak Ridge, TN 37830-6919
Phone (865) 483-8478

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement57
Knee replacement38
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60847TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Clinics PC Orthopaedic Surgery Current Accepting new patients
Tennessee Orthopaedic Clinics PC Orthopaedic Surgery CurrentSince Feb 1, 2020 Accepting new patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Clinics PC Orthopaedic Surgery CurrentSince Feb 1, 2020 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery Past Accepting new patients

Locations

1819 Clinch Ave
Ste 100
Knoxville, TN 37916
Phone (865) 524-5305

4882 Harvest Mill Way
Knoxville, TN 37918
Phone (865) 560-8550

9129 Cross Park Dr
Ste 101
Knoxville, TN 37923
Phone (865) 694-7725

6484 Kingston Pike
Knoxville, TN 37919
Phone (865) 633-0235

576 Fort Loudoun Med Center Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 988-8667

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

961 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 483-1906

988 Oak Ridge Tpke
Ste 100
Oak Ridge, TN 37830
Phone (865) 483-8478

1679 Veterans Blvd
Sevierville, TN 37862
Phone (865) 401-9062

744 Middle Creek Rd
Ste 100
Sevierville, TN 37862
Phone (865) 524-5365

Interoperability endpoints

  • Direct secure messaging: andrews.poole.p2@direct.toa.nextgenshare.com

Organizations & group practices 6

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 6

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1568874022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "865-243-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-524-5365",
            "fax_number": "865-673-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "988 Oak Ridge Tpke Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306919",
            "country_code": "US",
            "telephone_number": "865-483-8478",
            "fax_number": "865-483-4194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "576 Ft Loudoun Med Ctr Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725676",
            "country_code": "US",
            "telephone_number": "865-988-8667",
            "fax_number": "865-988-8837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6484 Kingston Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194863",
            "country_code": "US",
            "telephone_number": "865-633-0235",
            "fax_number": "865-602-7757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "961 Oak Ridge Tpke",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378308832",
            "country_code": "US",
            "telephone_number": "865-483-1906",
            "fax_number": "865-483-3807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 Middle Creek Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378625036",
            "country_code": "US",
            "telephone_number": "865-524-5365",
            "fax_number": "865-673-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "ANDREW",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "60847",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TN",
            "license": "60847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q056532",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.