Active NPI
Clifford J Meservy, MD
- Pediatric Radiology Physician
- Knoxville, TN
National Provider Identifier
1598745192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- MD17255
- Practice address
- 2001 Laurel Ave
Suite N304
Knoxville, TN 37916-1810 - Phone
- (865) 546-9484
- NPI assigned
- Jan 19, 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 Radiology Physician | 2085P0229X | MD17255 | TN | Primary |
Addresses
Primary practice location
2001 Laurel Ave
Suite N304
Knoxville, TN 37916-1810
Mailing address
2001 Laurel Ave
Suite N304
Knoxville, TN 37916-1810
Phone (865) 546-9484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3372353 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17255 | TN | MD | Pediatric Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1598745192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 LAUREL AVE",
"address_2": "SUITE N304",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161810",
"telephone_number": "865-546-9484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 LAUREL AVE",
"address_2": "SUITE N304",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161810",
"telephone_number": "865-546-9484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESERVY",
"first_name": "CLIFFORD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "TN",
"license": "MD17255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3372353",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.