Individual provider Active NPI

Erik E Geibig, M.D.

  • Emergency Medicine Physician
  • Knoxville, TN
National Provider Identifier
1578626065
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
38804 Issued in TN
Practice address
211 E Blount Ave
Suite 507
Knoxville, TN 37920-1614
Phone
(865) 525-9414
Fax
(865) 525-9452
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 38804 TN Primary
Specialist 174400000X 38804 TN

Addresses

Primary practice location

211 E Blount Ave
Suite 507
Knoxville, TN 37920-1614

Mailing address

PO Box 343
Knoxville, TN 37901-0343
Phone (865) 525-9414

Other identifiers 1

IdentifierTypeStateIssuer
3897951MedicaidTN

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
I20040915000151 TN Practitioner - Emergency Medicine 4981671377 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38804TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2008 Accepting new patients
Health Ventures, Inc Past Accepting new patients
East Tennessee Women's Care, PC Specialist Past Accepting new patients

Locations

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1578626065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379010343",
            "telephone_number": "865-525-9414",
            "fax_number": "865-525-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E BLOUNT AVE",
            "address_2": "SUITE 507",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201614",
            "telephone_number": "865-525-9414",
            "fax_number": "865-525-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIBIG",
        "first_name": "ERIK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "38804",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "38804",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3897951",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.