Organization Active NPI

Magnolia Family Practice LLC

  • Primary Care Clinic/Center
  • Knoxville, TN
National Provider Identifier
1760066286
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MAGNOLIA FAMILY PRACTICE LLC
Practice address
6336 Chapman Hwy
Knoxville, TN 37920-5938
Phone
(865) 888-0857
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Elizabeth Rahman Brownlie, FNPNPI 1295076610
Title
FNP/Owner
Phone
(865) 300-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6336 Chapman Hwy
Knoxville, TN 37920-5938

Mailing address

116 S Gay St Apt 505
Knoxville, TN 37902-4002
Phone (865) 300-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210519001033 TN Part B Supplier - Clinic/Group Practice 7315346673 Receives reassigned benefits from 4 practitioners
Practice locations: Knoxville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2226033Magnolia Family Practice LLC6336 Chapman Highway, Knoxville, TN 37920Certificate of waiverMay 25, 2027

National Provider Directory

National Provider Directory

Locations

6336 Chapman Hwy
Knoxville, TN 37920
Phone (865) 880-0857

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23911/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1760066286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GAY ST APT 505",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379024002",
            "telephone_number": "865-300-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 CHAPMAN HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205938",
            "telephone_number": "865-888-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "BROWNLIE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "RAHMAN",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "865-300-8400",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.