Individual provider Active NPI

John Martin Prince Jr., MD

  • Pulmonary Disease Physician
  • Knoxville, TN
National Provider Identifier
1861501991
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
22127 Issued in TN
Practice address
6473 Kingston Pike
Knoxville, TN 37919-2953
Phone
(865) 588-8831
Fax
(865) 588-8841
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 22127 TN Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 22127 TN

Addresses

Primary practice location

6473 Kingston Pike
Knoxville, TN 37919-2953

Mailing address

PO Box 207830
Dallas, TX 75320-4670
Phone (248) 781-8593

Other practice location 1

10904 Kingston Pike Ste 103
Knoxville, TN 37934-2953
Phone (865) 588-8831

Other practice location 2

744 Middle Creek Rd Ste 208
Sevierville, TN 37862-5036
Phone (865) 446-9725

Other practice location 3

550 Fort Loudoun Medical Center Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510001268 TN Practitioner - Pulmonary Disease 3971592486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Virginia School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10904 Kingston Pike
Suite 103
Knoxville, TN 37934-2953

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22127TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center CurrentSince Dec 1, 2000 Accepting new patients
Statcare Outpatient, LLC Critical Care Medicine CurrentSince Jul 1, 2017 Accepting new patients
Statcare Inpatient LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

719 Cook Dr
Ste 103
Athens, TN 37303
Phone (423) 339-3340

6106 Shallowford Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 208-9377

2333 Knob Creek Rd
Ste 15
Johnson City, TN 37604

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

2240 Sutherland Ave
Ste 103
Knoxville, TN 37919
Phone (865) 934-6100

6473 Kingston Pike
Knoxville, TN 37919
Phone (865) 909-0090

6473 Kingston Pike
Ste 6473
Knoxville, TN 37919
Phone (865) 269-6915

10904 Kingston Pike
Ste 103
Knoxville, TN 37934

10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

800 Oak Ridge Tpke
Ste C200
Oak Ridge, TN 37830
Phone (865) 483-3594

7551 Dannaher Dr
#102
Powell, TN 37849
Phone (865) 935-4949

744 Middle Creek Rd
Ste 208
Sevierville, TN 37862
Phone (865) 446-9675

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1861501991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207830",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753204670",
            "telephone_number": "248-781-8593",
            "fax_number": "801-618-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6473 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192953",
            "telephone_number": "865-588-8831",
            "fax_number": "865-588-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10904 Kingston Pike Ste 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342953",
            "country_code": "US",
            "telephone_number": "865-588-8831",
            "fax_number": "868-588-8841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 Middle Creek Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378625036",
            "country_code": "US",
            "telephone_number": "865-446-9725",
            "fax_number": "865-446-9726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Fort Loudoun Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725673",
            "country_code": "US",
            "telephone_number": "865-271-6000",
            "fax_number": "865-271-6245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "JOHN",
        "middle_name": "MARTIN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "22127",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "22127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.