Luis C Pannocchia, M.D.
Individual provider Active NPI Family Medicine Physician · New Tazewell, TN
NPI 1912988965 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1912988965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 18168 (TN)
- Practice address
- 309 N Broad St
New Tazewell, TN 37825-6600 - Phone
- (423) 626-7297
- Fax
- (423) 626-5553
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Emergency Coverage LLC
Covenant Medical Group Inc
Practice addresses (Care Compare)
1607 S Locust Ave Hwy 43
Lawrenceburg, TN 38464-4011
Phone (931) 762-6571
424 N Broad St
New Tazewell, TN 37825-6606
Phone (423) 259-5700
Hospital & facility affiliations
- Amedisys Home Health of Tennessee
- Claiborne Medical Center
- Tri State Health and Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 12 |
| Skin biopsy | 1-10 |
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: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Claiborne Health and Rehabilitation Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Tristate Health and Rehabilitation Center |
Skilled nursing facility | Adp of the SNF | Feb 7, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071224000019 | TN | Practitioner - Family Practice |
3072609809 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18168 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs Ventures Inc | Current |
Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Current |
Accepting new patients |
| Covenant Medical Group, Inc | Current |
Accepting new patients | |
| Covenant Medical Group, Inc. | Family Medicine | Current |
Accepting new patients |
| Uhs Ventures | Past |
Accepting new patients | |
| Tri State Manor, LLC | Past | Accepting new patients | |
| Raven Lake Healthcare, Inc. | Past | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
600 Shawanee Rd
Harrogate, TN 37752
Phone (423) 869-5376
1400 Centerpoint Blvd
Ste 158
Knoxville, TN 37932
Dept 888179
Knoxville, TN 37995
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
309 N Broad St
New Tazewell, TN 37825
Phone (423) 626-7287
424 N Broad St
New Tazewell, TN 37825
Phone (423) 259-5700
Interoperability endpoints
- lpannochia@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 18168 | TN | |
| Family Medicine Physician | 207Q00000X | 18168 | TN | Yes |
Addresses
Primary practice location
309 N Broad St
New Tazewell, TN 37825-6600
Mailing address
309 N Broad St
New Tazewell, TN 37825-6600
Phone (423) 626-7297
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1506117 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pannocchia.luis@covenanthealth.cernerdirect.com |
Other providers in New Tazewell, TN
- Emma Maecyn Nolan
- NT Medical Center Pharmacy, LLC
- Linda Sue Osborne
- Kelli Padgett
- Erica J Palmer
- Ellen Cawood Partin
- Meagan Payne
- Peytliv Inc
- Matthew Bradley Reese
- Detra Lynn Robertson
All providers in New Tazewell, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.