Organization Active NPI

Newport Internal Medicine, PC

  • Internal Medicine Physician
  • Newport, TN
National Provider Identifier
1821201112
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEWPORT INTERNAL MEDICINE, PC
Practice address
144 Five Rivers Plaza Way
Newport, TN 37821
Phone
(423) 623-0601
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Damaris Wood
Title
Office Manager
Phone
(423) 623-0601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

144 Five Rivers Plaza Way
Newport, TN 37821

Mailing address

144 Five Rivers Plaza Way
Newport, TN 37821-8134
Phone (423) 623-0601

Other identifiers 1

IdentifierTypeStateIssuer
3715433MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100907000108 TN Part B Supplier - Clinic/Group Practice 4688798143 Receives reassigned benefits from 1 practitioner
Practice locations: Newport, 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
44D0311862Newport Internal Medicine PC144 Five Rivers Plaza Way, Newport, TN 37821Certificate of waiverApr 21, 2028

National Provider Directory

National Provider Directory

Locations

235 Murray Dr
#A
Newport, TN 37821

144 Five Rivers Plaza Way
Newport, TN 37821
Phone (423) 623-0601

235 Murray Dr
Newport, TN 37821
Phone (423) 623-0601

235 Murray Dr
Ste A
Newport, TN 37821

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1821201112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 FIVE RIVERS PLAZA WAY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378218134",
            "telephone_number": "423-623-0601",
            "fax_number": "423-623-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 FIVE RIVERS PLAZA WAY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "37821",
            "telephone_number": "423-623-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-623-0601"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3715433",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.