Individual provider Active NPI

Thomas Austin Witt, MD

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1760010185
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68375 Issued in TN
Practice address
2202 Martin Luther King Jr Ave
Knoxville, TN 37915-1570
Phone
(865) 522-6097
Fax
(865) 540-1615
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 68375 TN Primary

Addresses

Primary practice location

2202 Martin Luther King Jr Ave
Knoxville, TN 37915-1570

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344

Other practice location 1

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Other names 1

  • Thomas Austin Bailey Witt Other name

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
I20231017002305 TN Practitioner - Family Practice 0345695904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Synergy Way
Holly Hill, FL 32117-2502

3030 Northwest Expressway
Suite 1000
Oklahoma City, OK 73112-5468

PO Box
Suite 207829
Dallas, TX 75320-7829

Hospital & facility affiliations

  • Covenant Homecare Home health agency, Knoxville, TN, CCN 447139
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081
  • Patricia Neal Rehabilitation Hospital Inpatient rehabilitation facility, Knoxville, TN, CCN 443039
  • Fort Sanders Tcu Nursing home, Knoxville, TN, CCN 445328

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Cherokee Health Systems CurrentSince Oct 1, 2023 Accepting new patients
Statcare Inpatient LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

2202 Martin Luther King Jr Ave
Knoxville, TN 37915
Phone (865) 522-6097

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Interoperability endpoints

  • Direct secure messaging: twitt312462@directhisp.wakemed.org

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1760010185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SULPHUR SPRINGS RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135654",
            "telephone_number": "423-317-9344",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 MARTIN LUTHER KING JR AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379151570",
            "telephone_number": "865-522-6097",
            "fax_number": "865-540-1615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITT",
        "first_name": "THOMAS",
        "middle_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "68375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "WITT",
            "middle_name": "AUSTIN BAILEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.