Individual provider Active NPI

Eddie Lamaine Brown, DO

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1871939793
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO3757 Issued in TN
Practice address
4711 Centerline Dr Ste 100
Knoxville, TN 37917-1405
Phone
(865) 647-3260
Fax
(865) 647-3279
NPI assigned
May 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3757 TN Primary

Addresses

Primary practice location

4711 Centerline Dr Ste 100
Knoxville, TN 37917-1405

Mailing address

4711 Centerline Dr Ste 100
Knoxville, TN 37917-1405
Phone (865) 647-3260

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eddie.brown.1@4694.direct.athenahealth.com

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
I20190813003198 TN Practitioner - Family Practice 4284929597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Knoxville, TN 37934-1981

7323 Chapman Hwy
Knoxville, TN 37920-6757

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Hma Physician Management, LLC CurrentSince Jul 15, 2019 Accepting new patients

Locations

4711 Centerline Dr
Ste 100
Knoxville, TN 37917
Phone (865) 545-8700

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

7323 Chapman Hwy
Ste 160
Knoxville, TN 37920
Phone (865) 647-3860

Interoperability endpoints

  • Direct secure messaging: eddie.brown.1@4694.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1871939793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 CENTERLINE DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171405",
            "telephone_number": "865-647-3260",
            "fax_number": "865-647-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 CENTERLINE DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171405",
            "telephone_number": "865-647-3260",
            "fax_number": "865-647-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "EDDIE",
        "middle_name": "LAMAINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-18",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO3757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eddie.brown.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "4711 Centerline Dr Ste 100",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379171405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.