Organization Active NPI

Knoxville Gastroenterology Consultants PLLC

  • Gastroenterology Physician
  • Knoxville, TN
National Provider Identifier
1831598689
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9663 Issued in TN
Legal business name
KNOXVILLE GASTROENTEROLOGY CONSULTANTS PLLC
Practice address
10800 Parkside Dr Ste 201
Knoxville, TN 37934-1922
Phone
(865) 531-4724
Fax
(865) 691-4526
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Leslie K Mays, RN
Title
Office Manager
Phone
(865) 531-4724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 9663 TN Primary

Addresses

Primary practice location

10800 Parkside Dr Ste 201
Knoxville, TN 37934-1922

Mailing address

10800 Parkside Dr Ste 201
Knoxville, TN 37934-1922
Phone (865) 531-4724

Other identifiers 1

IdentifierTypeStateIssuer
3194492OtherTNMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

9000 Executive Park Dr
Ste A250
Knoxville, TN 37923
Phone (865) 531-4724

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1831598689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 PARKSIDE DR STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341922",
            "telephone_number": "865-531-4724",
            "fax_number": "865-691-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PARKSIDE DR STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341922",
            "telephone_number": "865-531-4724",
            "fax_number": "865-691-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE GASTROENTEROLOGY CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-531-4724",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "9663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3194492",
            "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 Jan 16, 2020; 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.