Organization Active NPI

Tennessee Foot & Ankle Clinic, Inc.

  • Foot Surgery Podiatrist
  • Lenoir City, TN
National Provider Identifier
1891720462
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
TENNESSEE FOOT & ANKLE CLINIC, INC.
Practice address
125 Town Creek Rd E
Suite 3
Lenoir City, TN 37772-5612
Phone
(865) 986-2700
Fax
(986) 986-8096
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. David Paul Hawk, DPM
Title
President
Phone
(865) 986-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

125 Town Creek Rd E
Suite 3
Lenoir City, TN 37772-5612

Mailing address

125 Town Creek Rd E
Suite 3
Lenoir City, TN 37772-5612
Phone (865) 986-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20081014000732 TN Part B Supplier - Clinic/Group Practice 6901840131 Receives reassigned benefits from 5 practitioners
Practice locations: Sevierville, TN; Madisonville, TN; Knoxville, TN; Lenoir City, TN
O20100930047759 TN DME Supplier - Physician - Podiatry 6901840131 Practice locations: Lenoir City, TN
O20251110001373 TN Part B Supplier - Clinic/Group Practice 6901840131 Receives reassigned benefits from 1 practitioner
Practice locations: Lenoir City, TN; Sevierville, TN; Madisonville, TN

National Provider Directory

National Provider Directory
Tax ID family
Carol a Akerman2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

974 Highway 321 N
Ste 101
Lenoir City, TN 37771
Phone (865) 986-2700

4228 Highway 411
Madisonville, TN 37354
Phone (865) 986-2700

1124 Fox Meadows Blvd
Sevierville, TN 37862
Phone (865) 450-9191

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1891720462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWN CREEK RD E",
            "address_2": "SUITE 3",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725612",
            "telephone_number": "865-986-2700",
            "fax_number": "986-986-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOWN CREEK RD E",
            "address_2": "SUITE 3",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725612",
            "telephone_number": "865-986-2700",
            "fax_number": "986-986-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE FOOT & ANKLE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-986-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.