NPIMap

Organization Active NPI

Tennessee Orthopaedic Alliance PA

  • Orthopaedic Surgery Physician
  • Seviervillle, TN
National Provider Identifier
1639830672
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TENNESSEE ORTHOPAEDIC ALLIANCE PA
Practice address
1679 Veterans Blvd
Seviervillle, TN 37862
Phone
(865) 690-4861
Fax
(865) 673-8007
NPI assigned
Jan 3, 2022
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Ashley McSwain
Title
Credentialing Specialist
Phone
(865) 243-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1679 Veterans Blvd
Seviervillle, TN 37862

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 243-8153

Other identifiers 1

IdentifierTypeStateIssuer
3372041MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220720000231 TN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5193625069 Practice locations: Sevierville, TN

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2161249Tennessee Orthopaedic Alliance1679 Veterans Blvd, Sevierville, TN 37862Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1639830672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "865-243-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 VETERANS BLVD",
            "city": "SEVIERVILLLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-690-4861",
            "fax_number": "865-673-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ORTHOPAEDIC ALLIANCE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "MCSWAIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "865-243-8183"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3372041",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.