NPIMap

Organization Active NPI

Marble City Medical PLLC

  • Primary Care Clinic/Center
  • Knoxville, TN
National Provider Identifier
1760940613
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MARBLE CITY MEDICAL PLLC
Practice address
6010 Burnett Creek Rd
Knoxville, TN 37920
Phone
(864) 902-3983
Fax
(865) 859-0326
NPI assigned
Mar 11, 2019
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Courtney Blackwell McLeod, NPNPI 1932487113
Title
Owner
Phone
(386) 490-2398

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 NU Primary

Addresses

Primary practice location

6010 Burnett Creek Rd
Knoxville, TN 37920

Mailing address

6010 Burnett Creek Rd
Knoxville, TN 37920
Phone (386) 490-2398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190620003203 TN Part B Supplier - Clinic/Group Practice 5991039166 Receives reassigned benefits from 11 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19899/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1760940613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BURNETT CREEK RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "386-490-2398",
            "fax_number": "865-859-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BURNETT CREEK RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "864-902-3983",
            "fax_number": "865-859-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE CITY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "BLACKWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-490-2398",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "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 Aug 8, 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.