Active NPI
James Everett Gleaves Jr., MD
- Family Medicine Physician
- Knoxville, TN
National Provider Identifier
1699847459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9069
- Practice address
- 200 Blount Avenue
Suite 503
Knoxville, TN 37920 - Phone
- (865) 577-2588
- Fax
- (865) 573-4331
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- 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 Medicine Physician | 207Q00000X | 9069 | TN | Primary |
Addresses
Primary practice location
200 Blount Avenue
Suite 503
Knoxville, TN 37920
Mailing address
200 Blount Avenue
Suite 503
Knoxville, TN 37920
Phone (865) 577-2588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002033 | Other | BCBST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699847459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BLOUNT AVENUE",
"address_2": "SUITE 503",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37920",
"telephone_number": "865-577-2588",
"fax_number": "865-573-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BLOUNT AVENUE",
"address_2": "SUITE 503",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37920",
"telephone_number": "865-577-2588",
"fax_number": "865-573-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEAVES",
"first_name": "JAMES",
"middle_name": "EVERETT",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "9069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "2002033",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.