Individual provider Active NPI

Jeffry Thomas King, M.D.

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1700865540
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16930 Issued in TN
Practice address
1940 Alcoa Hwy
Knoxville, TN 37920-2244
Phone
(865) 305-6810
Fax
(865) 305-6803
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16930 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy
Knoxville, TN 37920-2244

Mailing address

1940 Alcoa Hwy
Knoxville, TN 37920-2244
Phone (865) 305-6810

Other practice location 1

2210 Sutherland Ave
Suite 110
Knoxville, TN 37919-2350
Phone (865) 525-4333

Other identifiers 1

IdentifierTypeStateIssuer
3019096MedicaidTN

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

State licenses

LicenseStateTypeSpecialty
16930TNMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700865540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202244",
            "telephone_number": "865-305-6810",
            "fax_number": "865-305-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202244",
            "telephone_number": "865-305-6810",
            "fax_number": "865-305-6803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 Sutherland Ave",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379192350",
            "country_code": "US",
            "telephone_number": "865-525-4333",
            "fax_number": "865-212-8879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JEFFRY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "16930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019096",
            "state": "TN"
        }
    ],
    "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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.