Individual provider Active NPI

Emily L Mathis, FNP

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1588792899
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12635 Issued in TN
Practice address
2732 US Highway 411 S
Maryville, TN 37801-3104
Phone
(865) 681-5277
Fax
(865) 681-5278
NPI assigned
Feb 28, 2007
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12635 TN Primary
Registered Nurse 163W00000X 142133 TN

Addresses

Primary practice location

2732 US Highway 411 S
Maryville, TN 37801-3104

Mailing address

1001 Hunters Green Rd
Knoxville, TN 37932-2498

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071215000250 TN Practitioner - Nurse Practitioner 2860582772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NP Health of TN PLLCGroup PAC ID 5395159883, 41 clinicians

Practice addresses (Care Compare)

3916 Boyds Bridge Pike
Knoxville, TN 37914-6233
Phone (865) 524-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
142133TNMDRegistered Nurse
12635TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Infusion CurrentSince Jul 1, 2020 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 20, 2007 Accepting new patients
Tennessee Cancer Specialists PLLC CurrentSince Jun 4, 2019 Accepting new patients
Tennessee Cancer Specialists PLLC Current Accepting new patients
NP Health of TN PLLC CurrentSince Jun 9, 2024 Accepting new patients
Tennessee Cancer Specialist PLLC CurrentSince Jun 4, 2019 Accepting new patients
Align Health Management Inc. Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

324 N Park 40 Blvd
Knoxville, TN 37923
Phone (865) 539-9081

3916 Boyds Bridge Pike
Knoxville, TN 37914
Phone (865) 523-1500

6016 Brookvale Ln
Ste 200
Knoxville, TN 37919
Phone (865) 862-0998

900 E Hill Ave
Ste 230
Knoxville, TN 37915
Phone (865) 862-0998

9943 Kingston Pike
Knoxville, TN 37922
Phone (865) 862-4557

9957 Sherrill Blvd
Knoxville, TN 37932
Phone (865) 639-2255

6500 Kirby Gate Blvd
Memphis, TN 38119
Phone (901) 230-2232

7551 Dannaher Dr
Powell, TN 37849
Phone (865) 637-9330

Organizations & group practices 7

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1588792899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HUNTERS GREEN RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 US HIGHWAY 411 S",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013104",
            "telephone_number": "865-681-5277",
            "fax_number": "865-681-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "EMILY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12635",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "142133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.