Individual provider Active NPI

Jordan Lakin, DO

  • Family Medicine Physician
  • Powell, TN
National Provider Identifier
1629575832
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3752 Issued in TN
Practice address
201 E Emory Rd
Powell, TN 37849-4016
Phone
(865) 938-3627
Fax
(865) 938-3647
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3752 TN Primary

Addresses

Primary practice location

201 E Emory Rd
Powell, TN 37849-4016

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

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
I20190906001158 TN Practitioner - Family Practice 8628328994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627

7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3752TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Urgent Care Centers LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Summit Medical Group, PLLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Summit Medical Group, PLLC CurrentSince Aug 1, 2019 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients
Summit Medical Group PLLC Family Medicine PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group, PLLC Family Medicine Past Accepting new patients

Locations

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

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

9625 Kroger Park Dr
Ste 300
Knoxville, TN 37922
Phone (865) 539-2287

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

201 E Emory Rd
Powell, TN 37849
Phone (865) 938-3627

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

Interoperability endpoints

  • Direct secure messaging: jordan.lakin.1@20785.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1629575832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E EMORY RD",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494016",
            "telephone_number": "865-938-3627",
            "fax_number": "865-938-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKIN",
        "first_name": "JORDAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "3752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.