Individual provider Active NPI

Ann Criswell Stuart, M.D.

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1699873554
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000016534 Issued in TN
Practice address
3114 Alcoa Hwy
Knoxville, TN 37920-4791
Phone
(865) 577-0320
Fax
(865) 573-9544
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000016534 TN Primary

Addresses

Primary practice location

3114 Alcoa Hwy
Knoxville, TN 37920-4791

Mailing address

PO Box 440452
Nashville, TN 37244-0452
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
3842492MedicaidTN

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
I20101007000796 TN Practitioner - Family Practice 8224220314 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000016534TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Family Medicine CurrentSince Aug 1, 1999 Accepting new patients
University Health System Inc CurrentSince Aug 1, 1999 Accepting new patients
University Health System, Inc Current Accepting new patients

Locations

3336 South Cir
Knoxville, TN 37920
Phone (865) 577-0320

1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1699873554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440452",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440452",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204791",
            "telephone_number": "865-577-0320",
            "fax_number": "865-573-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "ANN",
        "middle_name": "CRISWELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000016534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3842492",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.