Active NPI
James Richard Kerrigan, M.D.
- Pediatric Endocrinology Physician
- Knoxville, TN
National Provider Identifier
1811971997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 0000024835
- Practice address
- 2018 Clinch Ave, South Tower
2ND Floor
Knoxville, TN 37916 - Phone
- (865) 971-7400
- Fax
- (865) 541-8611
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 200401240 | NC | |
| Pediatric Endocrinology Physician | 2080P0205X | 0000024835 | TN | Primary |
Addresses
Primary practice location
2018 Clinch Ave, South Tower
2ND Floor
Knoxville, TN 37916
Mailing address
PO Box 15004
Knoxville, TN 37901
Phone (865) 522-9730
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1516053 | Medicaid | TN | |
| 10196736 | Medicaid | VA | |
| 4247746 | Other | TN | BCBS |
| 804923 | Other | NC | PARTNERS |
| 4401155 | Other | AETNA | |
| 890598U | Medicaid | NC | |
| D7731 | Other | NC | MEDCOST |
| Q24835 | Medicaid | SC | |
| 0598U | Other | NC | BCBS |
| 3810003260 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200401240 | NC | MD | Pediatric Endocrinology Physician |
| 0000024835 | TN | MD | Pediatric Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1811971997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15004",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37901",
"telephone_number": "865-522-9730",
"fax_number": "865-637-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 CLINCH AVE, SOUTH TOWER",
"address_2": "2ND FLOOR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37916",
"telephone_number": "865-971-7400",
"fax_number": "865-541-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERRIGAN",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NC",
"license": "200401240",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "TN",
"license": "0000024835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1516053",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10196736",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4247746",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "804923",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4401155",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890598U",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D7731",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q24835",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0598U",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003260",
"state": "WV"
}
],
"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 Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.