NPIMap

Organization Active NPI

Knoxville Internal Medicine PLLC

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1902022874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KNOXVILLE INTERNAL MEDICINE PLLC
Practice address
101 E Blount Ave
Suite 740
Knoxville, TN 37920-1632
Phone
(865) 632-5885
Fax
(865) 632-5893
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott Chain
Title
Practice Adm
Phone
(865) 632-5885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

101 E Blount Ave
Suite 740
Knoxville, TN 37920-1632

Mailing address

101 E Blount Ave
Suite 740
Knoxville, TN 37920-1601
Phone (865) 632-5885

Other identifiers 2

IdentifierTypeStateIssuer
293835OtherTNFED BLACK LUNG
3707980MedicaidTN

National Provider Directory

National Provider Directory

Locations

101 E Blount Ave
Ste 740
Knoxville, TN 37920
Phone (865) 632-5885

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902022874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BLOUNT AVE",
            "address_2": "SUITE 740",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201601",
            "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": "101 E BLOUNT AVE",
            "address_2": "SUITE 740",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201632",
            "telephone_number": "865-632-5885",
            "fax_number": "865-632-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRACTICE ADM",
        "authorized_official_telephone_number": "865-632-5885"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BLACK LUNG",
            "identifier": "293835",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3707980",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.