Elizabeth H. Margle

Individual provider Active NPI Nurse Practitioner · Oak Ridge, TN

NPI 1902333909 · NPPES record last updated Aug 14, 2017

Key facts

NPI
1902333909
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
22913 (TN)
Practice address
801 Oak Ridge Turnpike
Oak Ridge, TN 37830
Phone
(865) 483-3172
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLC (636 clinicians)

Practice addresses (Care Compare)

801 Oak Ridge Tpke
Oak Ridge, TN 37830-6916
Phone (865) 483-3172

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171101001024 TN Practitioner - Nurse Practitioner 0648546903 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22913TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC Current
since Aug 14, 2017
Accepting new patients
Summit Medical Group PLLC Current
since Aug 14, 2017
Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

9333 Park West Blvd
Ste 200
Knoxville, TN 37923
Phone (865) 531-4600

850 Briarcliff Ave
Oak Ridge, TN 37830
Phone (865) 483-3172

801 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 482-4088

Interoperability endpoints

  • Direct secure messaging: elizabeth.margle.1@20785.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22913 TN Yes

Addresses

Primary practice location

801 Oak Ridge Turnpike
Oak Ridge, TN 37830

Mailing address

1225 E. Weisgarber Road
Suite 200
Knoxville, TN 37909
Phone (865) 584-4747

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2017.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1902333909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E. WEISGARBER ROAD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37909",
            "telephone_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OAK RIDGE TURNPIKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-483-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGLE",
        "first_name": "ELIZABETH",
        "middle_name": "H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "22913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

All providers in Oak Ridge, TN · Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.