Camilla C. Bennett MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAMILLA C. BENNETT MD PC

Practice address

200 Fort Sanders West Blvd
Suite 107
Knoxville, TN 37922-3357

Phone

(865) 670-1003

Fax

(865) 670-1004

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Camilla C. Bennett, MD

Title

Owner

Phone

(865) 670-1003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kemberly E Harp, APRNBC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1700816246
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1770622003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FORT SANDERS WEST BLVD",
            "address_2": "SUITE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223357",
            "telephone_number": "865-670-1003",
            "fax_number": "865-670-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FORT SANDERS WEST BLVD",
            "address_2": "SUITE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223357",
            "telephone_number": "865-670-1003",
            "fax_number": "865-670-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLA C. BENNETT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-670-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3372803",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Robert Cameron, M.D.
• Jill Cameron, ANP-BC
• Kierra Rachelle Cameron
• Krystal L Cameron, RD, LDN
• Lauree Danielle Cameron, PA
• Camille Heatherly Williamson LCSW, LLC
• Luke Camp, PA
• Nina Elizabeth Campanaro
• Campbell Cunningham & Taylor, PC
• Campbell Cunningham & Taylor, PC

• Family Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.