NPIMap

Organization Active NPI

Knoxville Heart Group, Inc.

  • Cardiovascular Disease Physician
  • Knoxville, TN
National Provider Identifier
1710218508
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 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
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COVENANT MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Robert Brent
Title
VP Operations
Phone
(865) 374-5104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Part of
Covenant Med MNG Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

380 W Broadway Blvd
Jefferson City, TN 37760
Phone (865) 450-9361

1924 Pinnacle Pointe Way
Ste 200
Knoxville, TN 37922
Phone (865) 360-1140

705 McFarland St
#T
Morristown, TN 37814

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1710218508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-546-5111",
            "fax_number": "865-541-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W CLINCH AVE",
            "address_2": "SUITE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162434",
            "telephone_number": "865-546-5111",
            "fax_number": "865-374-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE HEART GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT MEDICAL GROUP, INC",
        "enumeration_date": "2010-01-19",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "BRENT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "865-374-5104"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.