James David Proffitt Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25052 Issued in TN

Practice address

701 Morganton Square Dr
Maryville, TN 37801-4796

Phone

(865) 984-6823

Fax

(865) 984-0824

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Summit Medical Group, PLLC

  dba Cool Springs Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment NPD
• Summit Medical Group, PLLC

  dba Rheumatology Assoc. of East TN

  • Rheumatology Physician
  • Knoxville, TN
  • NPI 1053480004
  NPD
• Appalachian Development LLC

  • Family Medicine Physician
  • Maryville, TN
  • NPI 1184740763
  NPD (past)
• Blount Memorial Physician Group, Inc

  • Family Medicine Physician
  • Alcoa, TN
  • NPI 1699710194

  Internal Medicine

  NPD (past)
• Physicians Clinic, P.C.

  • Internal Medicine Physician
  • Lenoir City, TN
  • NPI 1689877607
  NPD (past)
• Summit Medical Group PLLC

  dba Summit Medical Group of Oak Ridge

  • Family Medicine Physician
  • Oak Ridge, TN
  • NPI 1437238797
  NPD (past)
• Summit Medical Group,PLLC

  dba Summit Medical Group of Cookeville

  • Internal Medicine Physician
  • Cookeville, TN
  • NPI 1588362164
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1871542233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092604",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MORGANTON SQUARE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014796",
            "telephone_number": "865-984-6823",
            "fax_number": "865-984-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFITT",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "25052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "3714826",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prisma Health - Blount Memorial Hospital Inc. (PH Perfect Fit)
• Prisma Health - Blount Memorial Hospital Inc. (Blount Memorial Hospital Hospice)
• Prisma Health - Blount Memorial Hospital Inc. (Blount Memorial Home Equipment Services)
• Prisma Health - Blount Memorial Hospital Inc. (Blount Memorial Hospital)
• Prisma Health - Blount Memorial Hospital Inc. (Blount Memorial Hospital Home Health Services)
• William F Proffitt Jr., D.D.S.
• Wilma Proffitt, MD
• Prohealth Senior Services of Virginia
• Kimberly T Pruitt, RN
• Psychological & Counseling Services (Karan E. Goins, LCSW, PC)

• Internal Medicine Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.