Active NPI
Savanna Blevins, FNP
- Family Nurse Practitioner
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21566
- Practice address
- 2 Professional Park Dr Ste 11
Johnson City, TN 37604-6584 - Phone
- (423) 975-5650
- NPI assigned
- Oct 18, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21566 | TN | Primary |
Addresses
Primary practice location
2 Professional Park Dr Ste 11
Johnson City, TN 37604-6584
Mailing address
PO Box 52948
Knoxville, TN 37950-2948
Phone (865) 306-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30017456480001 | Medicaid | VA |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9430 Parkwest Blvd
Suite 310
Knoxville, TN 37923-4203
Phone (865) 690-5263
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.3 of 100
- Quality
- 64.09
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21566 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Surgical Associates, PLLC | Current | Accepting new patients | |
| Premier Surgical Associates, PLLC | Current | Accepting new patients |
Locations
101 Med Tech Pkwy
Ste 405
Johnson City, TN 37604
Phone (423) 929-2452
2 Professional Park Dr
Ste 11
Johnson City, TN 37604
Phone (423) 434-0642
9430 Park West Blvd
Ste 310
Knoxville, TN 37923
Phone (865) 984-3413
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71045
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Knoxville, TN
- NPI 1750449443
-
- Prosthetic/Orthotic Supplier
- Knoxville, TN
- NPI 1285806919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1689125296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52948",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379502948",
"telephone_number": "865-306-5700",
"fax_number": "865-584-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PROFESSIONAL PARK DR STE 11",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046584",
"telephone_number": "423-975-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEVINS",
"first_name": "SAVANNA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "21566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30017456480001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.