Farragut Walk in Clinic

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

FARRAGUT WALK IN CLINIC

Practice address

11408 Kingston Pike
Suite 400
Knoxville, TN 37934-3975

Phone

(865) 671-6026

Fax

(865) 671-6062

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David G Petty Jr., M.D.

Title

Owner

Phone

(865) 671-6026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821296625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 KINGSTON PIKE",
            "address_2": "SUITE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343975",
            "telephone_number": "865-671-6026",
            "fax_number": "865-671-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 KINGSTON PIKE",
            "address_2": "SUITE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343975",
            "telephone_number": "865-671-6026",
            "fax_number": "865-671-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRAGUT WALK IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-671-6026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Truman Farr, MD
• Farragut Family Care
• Farragut Inpatient Services PLLC
• Farragut Oral Surgery and Implant Center, PC
• Farragut Pharmacy Inc
• Mina Farrar, NP
• Pamela La'Verne Farrar, RN
• Andrea' Lamar Farrior, D.M.D.
• Anna C. Farris, MA
• Lauren Farris

• Preferred Provider Organization in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Preferred Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.