Knoxville Heart Group, Inc.
Organization Active NPI Cardiovascular Disease Physician · Knoxville, TN
NPI 1710218508 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1710218508
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- KNOXVILLE HEART GROUP, INC.
- Practice address
- 1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2434 - Phone
- (865) 546-5111
- Fax
- (865) 374-2156
- NPI assigned
- Jan 19, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- COVENANT MEDICAL GROUP, INC
Authorized official
- Name
- Robert Brent
- Title
- VP Operations
- Phone
- (865) 374-5104
Member of 1
Practitioners 31
-
Amanda Dawn Barnes, FNP
-
Amy Nanette Buck, APRN
-
Briana Teresa Costello, M.D.
-
John David D'Lugos, FNP-BC
-
Rodney O. Diehl, DO
-
Matthew Evans, M.D.
-
Elliott Goodwin, DO
-
Kayla Lamb, FNP
-
Hitesh Jitendra Mehta, M.D.
-
Elise Taylor, FNP
-
Joshua Weber Todd, M.D.
-
Richard Enoch Treadway Jr., MSN-FNP
-
Emily Amburn, PA-C
-
Jordan Riley Cormack, PHYSICIAN ASSISTANT
-
Caroline Bond Swann, PA-C
-
Erick A Greer, FNP
-
Kristi Knight, ANP
-
Jodie L Schneitman, AG-ACNP, BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100428000555 | TN | Part B Supplier - Clinic/Group Practice | 4284761917 |
Receives reassigned benefits from 31 practitioners Practice locations: Harrogate, TN; Tazewell, TN; Seymour, TN; Sevierville, TN; Powell, TN; Oak Ridge, TN; Morristown, TN; Knoxville, TN… |
National Provider Directory
- Part of
- Internal Medicince West a Member of Covenant Health
Locations
7625 Chapman Hwy
Ste 102
Knoxville, TN 37920
244 Fort Sanders West Blvd
Knoxville, TN 37922
705 McFarland St
#T
Morristown, TN 37814
11606 Chapman Hwy
Seymour, TN 37865
Phone (865) 579-7580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2434
Mailing address
1819 Clinch Ave Ste 108
Knoxville, TN 37916-2435
Phone (865) 546-5111
Other providers in Knoxville, TN
- Knoxville Health Care Center LTD
- Knoxville Health Care Center, LP
- Knoxville Healthcare Center I, LLC
- Knoxville Healthcare LLC
- Knoxville Heart Group PC
- Knoxville Hematology Oncology Associates
- Knoxville Hma Cardiology PPM, LLC
- Knoxville Hma Homecare DME & Hospice LLC
- Knoxville Hma Homecare DME & Hospice LLC
- Knoxville Hma Homecare DME & Hospice LLC
All providers in Knoxville, TN · Cardiovascular Disease 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 Sep 23, 2025. 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.