Active NPI
Jeffory Glenn Jennings, MD
- Pediatric Cardiology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 014885
- Practice address
- 2100 W Clinch Ave
Koppel Plaza, Ste 420
Knoxville, TN 37916-2219 - Phone
- (865) 522-0420
- Fax
- (865) 522-9068
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 014885 | TN | Primary |
Addresses
Primary practice location
2100 W Clinch Ave
Koppel Plaza, Ste 420
Knoxville, TN 37916-2219
Mailing address
PO Box 15004
Knoxville, TN 37901
Phone (865) 522-9730
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4188709 | Other | TN | BCBS |
| 1510582 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Physician Type (Specify)
- Education
- University of Tennessee, HSC, College of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1924 Alcoa Hwy
Knoxville, TN 37920-1511
1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333
1928 Alcoa Hwy 102
Knoxville, TN 37920-1506
Phone (865) 305-6640
1928 Alcoa Hwy S 102
Knoxville, TN 37920-1506
Phone (865) 544-6740
1940 Alcoa Hwy
Suite E310
Knoxville, TN 37920-2267
Phone (865) 544-2800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 86.23
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014885 | TN | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System Inc | Pediatric Cardiology | Current | Accepting new patients |
| University Health System Inc | Current | Accepting new patients | |
| Knoxville Cardiovascular Group PC | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| Knoxville Neurology Specialists, PLLC | Past | Accepting new patients |
Locations
2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960
1940 Alcoa Hwy
Ste 310
Knoxville, TN 37920
Phone (865) 305-9873
9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142
1940 Alcoa Hwy
Ste E310
Knoxville, TN 37920
Phone (865) 544-4280
1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570
1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Cardiovascular Disease Physician
- Knoxville, TN
- NPI 1770539785
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Cardiovascular Disease Physician
- Knoxville, TN
- NPI 1821637489
Pediatric Cardiology
-
- Neurology Physician
- Knoxville, TN
- NPI 1720003338
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1598744336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15004",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37901",
"telephone_number": "865-522-9730",
"fax_number": "865-637-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CLINCH AVE",
"address_2": "KOPPEL PLAZA, STE 420",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162219",
"telephone_number": "865-522-0420",
"fax_number": "865-522-9068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "JEFFORY",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TN",
"license": "014885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4188709",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1510582",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.