Kenneth Lee Justice, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30763 Issued in TN

Practice address

1130 Middle Creek Rd Ste 260
Sevierville, TN 37862-3055

Phone

(865) 428-7586

Fax

(865) 428-8671

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uhs Primary Care LLCGroup PAC ID 1153849856, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of TN Medical Center Home Care Services Home health agency, Knoxville, TN, CCN 447230
• University Health System, Inc Hospital, Knoxville, TN, CCN 440015
• Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

Merit-based Incentive Payment System (MIPS)

Final score

96.48 of 100Reported as apm

Quality

86.23

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Uhs Primary Care LLC

  • Internal Medicine Physician
  • Lenoir City, TN
  • NPI 1770381196
  Medicare reassignment Care Compare group NPD
• University Health System, Inc

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1790738763
  Medicare reassignment NPD
• Uhs Primary Care LLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1265328025
  NPD
• Uhs Primary Care LLC

  • Family Medicine Physician
  • Sevierville, TN
  • NPI 1518765940
  NPD
• University Health System, Inc

  • Family Medicine Physician
  • Sevierville, TN
  • NPI 1508096702
  NPD
• University Health System, Inc

  • Family Medicine Physician
  • Seymour, TN
  • NPI 1962680223
  NPD
• Uhs Ventures

  • Urgent Care Clinic/Center
  • Sevierville, TN
  • NPI 1235669680
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Leconte Medical Center

  • General Acute Care Hospital
  • Sevierville, TN
  • NPI 1528052578
  Care Compare affiliation
• University Health System, Inc.

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation
• University of TN Medical Center Home Care Services, LLC

  • Home Health Agency
  • Knoxville, TN
  • NPI 1346460953
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1891747853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440061",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440061",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MIDDLE CREEK RD STE 260",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623055",
            "telephone_number": "865-428-7586",
            "fax_number": "865-428-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000030763",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "30763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3831218",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3831219",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Ann Jones, FNP
• Mackenzie Shae Liedel Jones
• James Daryl Jordan, M.D.
• Stephanie M Josey
• Andrew Tyler Justice, PHARM D.
• K VA T Food Stores Inc
• K VA T Food Stores Inc
• Sarah Kamp, NP
• Shannon Nicole Keathley, PT
• Maggie Elline Keck, FNP

• Family Medicine Physician in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.
• 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.