NPIMap

Organization Active NPI

Tennessee Cancer Specialist PLLC

Doing business as Greeneville Office

  • Hematology & Oncology Physician
  • Greeneville, TN
National Provider Identifier
1871301358
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
TENNESSEE CANCER SPECIALIST PLLC
Doing business as
Greeneville Office
Practice address
1665 E Andrew Johnson Hwy Ste 2
Greeneville, TN 37745-5826
Phone
(423) 639-0243
Fax
(423) 639-0629
NPI assigned
Dec 30, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TENNESSEE CANCER SPECIALIST PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Patricia G Jenkins
Title
Credentialing Coordinator
Phone
(865) 862-0998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

1665 E Andrew Johnson Hwy Ste 2
Greeneville, TN 37745-5826

Mailing address

900 E Hill Ave Ste 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

Other names 2

  • Greeneville Office Doing business as
  • Tennessee Cancer Specialists, PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000160 TN Part B Supplier - Clinic/Group Practice 1658358171 Receives reassigned benefits from 69 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jefferson City, TN; Sweetwater, TN; Powell, TN; Oak Ridge, TN; Newport, TN; La Follette, TN; Knoxville, TN; Athens, TN…

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

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
44D1071238Tennessee Cancer Specialists, PLLC1665 E Andrew Johnson Hwy, Ste 2, Greeneville, TN 37745ComplianceSep 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Tennessee Cancer Specialist PLLC66 organizations share this tax ID, including this one
Part of
Tennessee Cancer Specialist PLLC

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

1410 Tusculum Blvd
Ste 2200
Greeneville, TN 37745
Phone (423) 639-0243

1665 E Andrew Johnson Hwy
Ste 2
Greeneville, TN 37745
Phone (423) 639-0243

292 N Main St
Jellico, TN 37762
Phone (423) 784-2020

1415 Old Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 934-5806

9430 Park West Blvd
#120
Knoxville, TN 37923
Phone (865) 693-2255

9430 Park West Blvd
Ste 120
Knoxville, TN 37923
Phone (865) 693-2255

576 Fort Loudoun Med Center Dr
Ste 101
Lenoir City, TN 37772
Phone (865) 271-6565

339 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 305-8780

304 Church St
Ofc
Sweetwater, TN 37874

Practitioners & affiliated clinicians

Practitioners 60

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.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1871301358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152565",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 E ANDREW JOHNSON HWY STE 2",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455826",
            "telephone_number": "423-639-0243",
            "fax_number": "423-639-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE CANCER SPECIALIST PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENNESSEE CANCER SPECIALIST PLLC",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "865-862-0998"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greeneville Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tennessee Cancer Specialists, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.