NPIMap

Organization Active NPI

High Risk Obstetrical Consultants, PLLC

  • Maternal & Fetal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1770724676
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
HIGH RISK OBSTETRICAL CONSULTANTS, PLLC
Practice address
1930 Alcoa Hwy Ste A435
Knoxville, TN 37920-1520
Phone
(865) 263-2400
Fax
(865) 263-2441
NPI assigned
Mar 23, 2009
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Mark D Hennessy, MDNPI 1194710467
Title
Owner
Phone
(865) 263-2400

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
Maternal & Fetal Medicine Physician 207VM0101X TN Primary

Addresses

Primary practice location

1930 Alcoa Hwy Ste A435
Knoxville, TN 37920-1520

Mailing address

1930 Alcoa Hwy Ste A435
Knoxville, TN 37920-1520
Phone (865) 263-2400

Other identifiers 1

IdentifierTypeStateIssuer
1513354MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161116003031 TN Part B Supplier - Clinic/Group Practice 8729137021 Receives reassigned benefits from 23 practitioners
Practice locations: Sweetwater, TN; Johnson City, TN; Morristown, TN; Lafollette, TN; Kingsport, TN; Cookeville, TN; 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
44D0956380High Risk Obstetrical Consultants, PLLC1930 Alcoa Hwy BLDG a Ste 435, Knoxville, TN 37920Provider-performed microscopyJan 26, 2027

National Provider Directory

National Provider Directory

Locations

225 N Willow Ave
Ste 8
Cookeville, TN 38501
Phone (865) 263-2400

5205 Bobby Hicks Hwy
Ste 10
Gray, TN 37615
Phone (423) 207-6296

1021 Coolidge St
Ste S2
Greeneville, TN 37743
Phone (423) 636-2300

2335 Knob Creek Rd
Ste 100
Johnson City, TN 37604
Phone (423) 282-5332

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

1924 Alcoa Hwy
#6S
Knoxville, TN 37920
Phone (865) 305-9300

1930 Alcoa Hwy
Ste A435
Knoxville, TN 37920
Phone (865) 263-2400

609 McFarland St
Morristown, TN 37814
Phone (423) 492-7125

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

6232 W Andrew Johnson Hwy
Ste 2300
Talbott, TN 37877

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1770724676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE A435",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201520",
            "telephone_number": "865-263-2400",
            "fax_number": "865-263-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE A435",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201520",
            "telephone_number": "865-263-2400",
            "fax_number": "865-263-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH RISK OBSTETRICAL CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "HENNESSY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-263-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513354",
            "state": "TN"
        }
    ],
    "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 Dec 15, 2022; 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.