Encore Wound Care -Tennessee LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ENCORE WOUND CARE -TENNESSEE LLC

Practice address

6216 Highland Place Way
Knoxville, TN 37919-4070

Phone

(404) 652-8748

Fax

(267) 907-8012

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Tracy Wimberg

Title

VP Billing Operations

Phone

(609) 517-2526

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1861219834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 BAY AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442378",
            "telephone_number": "609-517-2526",
            "fax_number": "267-907-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 HIGHLAND PLACE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194070",
            "telephone_number": "404-652-8748",
            "fax_number": "267-907-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE WOUND CARE -TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "WIMBERG",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "VP BILLING OPERATIONS",
        "authorized_official_telephone_number": "609-517-2526"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim R Emmett, M.D.
• Latonya Emory
• Susana R Enciso, CNIM
• Encore Infusion Management, LLC
• Encore Infusion of Tennessee PC (Encore Infusion)
• Blaine L. Enderson, M.D.
• Endocrinology Consultants of East TN
• Endomed Inc.
• Endoscopy Center of Knoxville LP (The Endoscopy Center West)
• Endoscopy Center of Knoxville LP (The Endoscopy Center)

• Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.