Individual provider Active NPI

Robert G Thompson II, MD

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1881649028
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD13865 Issued in TN
Practice address
6600 Nightingale LN
Knoxville, TN 37909-2754
Phone
(865) 632-5885
Fax
(865) 632-5893
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD13865 TN Primary

Addresses

Primary practice location

6600 Nightingale LN
Knoxville, TN 37909-2754

Mailing address

6600 Nightingale LN
Knoxville, TN 37909-2754
Phone (865) 632-5885

Other practice location 1

7625 Chapman Hwy Ste 103
Knoxville, TN 37920-2353
Phone (865) 632-5893

Other identifiers 3

IdentifierTypeStateIssuer
3003963MedicaidTN
TN0102OtherTNJOHN DEERE
4118987OtherTNBLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thompson.robert@covenanthealth.cernerdirect.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
I20060420000550 TN Practitioner - Internal Medicine 2961411830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554

Merit-based Incentive Payment System (MIPS)

Final score
95.48 of 100Reported as individual
Quality
91.77
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13865TNMDInternal Medicine Physician
13865TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Dec 1, 2012 Accepting new patients
Covenant Medical Group, Inc. Internal Medicine CurrentSince Dec 1, 2012 Accepting new patients
Knoxville Internal Medicine PLLC Internal Medicine Past Accepting new patients

Locations

7564 Mountain Grove Dr
Knoxville, TN 37920
Phone (865) 632-5885

6600 Nightingale Ln
Knoxville, TN 37909
Phone (865) 632-5885

Dept 888179
Knoxville, TN 37995

7625 Chapman Hwy
Ste 103
Knoxville, TN 37920
Phone (865) 331-1122

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1881649028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 NIGHTINGALE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092754",
            "telephone_number": "865-632-5885",
            "fax_number": "865-632-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 NIGHTINGALE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092754",
            "telephone_number": "865-632-5885",
            "fax_number": "865-632-5893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7625 Chapman Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379202353",
            "country_code": "US",
            "telephone_number": "865-632-5893",
            "fax_number": "865-374-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD13865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003963",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0102",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4118987",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thompson.robert@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "6600 Nightingale Ln",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379092754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.