Orthotennessee, PC
Organization Active NPI Orthopaedic Surgery Physician · Knoxville, TN
NPI 1679664494 · NPPES record last updated Jan 9, 2026
Key facts
- NPI
- 1679664494
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ORTHOTENNESSEE, PC
- Practice address
- 11440 Parkside Dr Ste 110
Knoxville, TN 37934-2658 - Phone
- (865) 218-9300
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Pierce D Pearson
- Title
- Ceo
- Phone
- (865) 769-4502
Other NPIs on the same Medicare enrollment 21
Corporate family (same tax ID) 25
Practitioners 9
-
Herman G Botero, D.O.
-
Chelsey Nicole Cantwell, PA-C
-
Cody Mitchell Hastings, PA-C
-
Cassandra P Loucks, P.A.
-
Anna B Martin, PA
-
Michael J McCollum, M.D.
-
Kevin Paul Schoonover, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000622 | TN | Part B Supplier - Clinic/Group Practice | 3476453572 |
Receives reassigned benefits from 164 practitioners 22 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sevierville, TN; Powell, TN; Oak Ridge, TN; Morristown, TN; Maryville, TN; Knoxville, TN; Harriman, TN |
National Provider Directory
- Tax ID family
- Koc Harriman
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
11440 Parkside Dr Ste 110
Knoxville, TN 37934-2658
Mailing address
8320 E Walker Springs LN Ste 200
Knoxville, TN 37923-3120
Phone (865) 769-4500
Other names
- KOC Turkey Creek
- Knoxville Orthopaedic Clinic
- Knoxville Orthopedic Clinic
- University Orthopaedic Surgeons
- University Orthopedic Surgeons
Other providers in Knoxville, TN
- Orthotennessee, PC
- Orthotennessee, PC
- Orthotennessee, PC
- Orthotennessee, PC
- Orthotennessee, PC
- Orthotennessee, PC
- Orthotennessee, PC
- Orthotennessee, PC
- Marcus Rene Ortiz Jr.
- Nancy Anne Ortiz
All providers in Knoxville, TN · Orthopaedic Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.