Organization Active NPI

Knoxville Heart Group PC

  • Cardiovascular Disease Physician
  • Knoxville, TN
National Provider Identifier
1821087628
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KNOXVILLE HEART GROUP PC
Practice address
1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2434
Phone
(865) 546-5111
Fax
(865) 541-4018
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Mrs. Brandon Hardin Renfroe
Title
Controller
Phone
(865) 541-4070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2434

Mailing address

1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2434
Phone (865) 546-5111

Other identifiers 1

IdentifierTypeStateIssuer
3722208MedicaidTN

Other names 1

  • Horizon Cardiology Group PC Former legal business name

National Provider Directory

National Provider Directory

Locations

501 20th St
Ste 110
Knoxville, TN 37916
Phone (615) 984-3417

1819 Clinch Ave
Knoxville, TN 37916
Phone (865) 522-2949

1819 Clinch Ave
Ste 108
Knoxville, TN 37916
Phone (865) 541-4062

705 N High St
Morristown, TN 37814
Phone (423) 415-3310

11696 Chapman Hwy
Seymour, TN 37865

11169 Chapman Hwy
Seymour, TN 37865
Phone (865) 378-5932

1850 Old Knoxville Rd
Ste B
Tazewell, TN 37879
Phone (423) 526-0700

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1821087628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W CLINCH AVE",
            "address_2": "SUITE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162434",
            "telephone_number": "865-546-5111",
            "fax_number": "865-541-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W CLINCH AVE",
            "address_2": "SUITE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162434",
            "telephone_number": "865-546-5111",
            "fax_number": "865-541-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE HEART GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "RENFROE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "HARDIN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "865-541-4070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3722208",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Cardiology Group PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 9, 2011; 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.