Individual provider Active NPI

Phillip Lynn Nichols II, MD

  • Pulmonary Disease Physician
  • Knoxville, TN
National Provider Identifier
1639115496
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
37082 Issued in TN
Practice address
6473 Kingston Pike
Knoxville, TN 37919-4832
Phone
(865) 588-8831
Fax
(865) 588-8841
NPI assigned
Jun 21, 2006
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 37082 TN
Pulmonary Disease Physician 207RP1001X 37082 TN Primary

Addresses

Primary practice location

6473 Kingston Pike
Knoxville, TN 37919-4832

Mailing address

PO Box 207830
Dallas, TX 75320-4670
Phone (888) 412-2649

Other practice location 1

550 Fort Loudoun Medical Center Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6000

Other practice location 2

944 Oak Ridge Tpke
Oak Ridge, TN 37830-6917
Phone (865) 835-3810

Other practice location 3

9352 Park West Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1974

Other practice location 4

501 20th St Ste 303
Knoxville, TN 37916-1899
Phone (865) 331-1375

Other practice location 5

10904 Kingston Pike Ste 103
Knoxville, TN 37934-2953
Phone (865) 588-8831

Other practice location 6

8045 Roane Medical Center Dr Ste 240
Harriman, TN 37748-8333
Phone (865) 316-2876

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
I20040505001731 TN Practitioner - Pulmonary Disease 8729076815 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Hospital Association CurrentSince Jan 15, 2024 Accepting new patients
Statcare Inpatient LLC CurrentSince Jul 1, 2017 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 1, 2003 Accepting new patients
Statcare Outpatient, LLC Pulmonary Disease CurrentSince Jul 1, 2017 Accepting new patients
Sweetwater Hospital Association CurrentSince Jan 15, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 1, 2003 Accepting new patients
Parkwest Medical Center Past Accepting new patients

Locations

8045 Roane Medical Center Dr
Ste 240
Harriman, TN 37748
Phone (865) 316-2876

10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540

10904 Kingston Pike
Ste 103
Knoxville, TN 37934

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

6473 Kingston Pike
Ste 6473
Knoxville, TN 37919
Phone (865) 269-6915

501 20th St
Ste 303
Knoxville, TN 37916
Phone (865) 331-1375

6473 Kingston Pike
Knoxville, TN 37919
Phone (865) 909-0090

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

2240 Sutherland Ave
Ste 103
Knoxville, TN 37919
Phone (865) 934-6100

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

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

944 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 835-3810

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

1255 Highway 411
Ste 6
Vonore, TN 37885
Phone (865) 213-8401

Interoperability endpoints

  • Direct secure messaging: lynn.nichols.1@16930.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1639115496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207830",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753204670",
            "telephone_number": "888-412-2649",
            "fax_number": "405-792-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6473 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194832",
            "telephone_number": "865-588-8831",
            "fax_number": "865-588-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Fort Loudoun Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725673",
            "country_code": "US",
            "telephone_number": "865-271-6000",
            "fax_number": "865-271-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "944 Oak Ridge Tpke",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306917",
            "country_code": "US",
            "telephone_number": "865-835-3810",
            "fax_number": "865-835-3811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9352 Park West Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234325",
            "country_code": "US",
            "telephone_number": "865-373-1974",
            "fax_number": "865-373-1059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 20th St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379161899",
            "country_code": "US",
            "telephone_number": "865-331-1375",
            "fax_number": "865-331-1714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10904 Kingston Pike Ste 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342953",
            "country_code": "US",
            "telephone_number": "865-588-8831",
            "fax_number": "868-588-8841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8045 Roane Medical Center Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377488333",
            "country_code": "US",
            "telephone_number": "865-316-2876",
            "fax_number": "865-374-2079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "PHILLIP",
        "middle_name": "LYNN",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "37082",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "37082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.