Individual provider Active NPI

Robert Clifton Knizley Jr., MD

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1952501983
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29469 Issued in AL
Practice address
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone
(251) 545-4579
Fax
(251) 287-1466
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 602 WI
Pulmonary Disease Physician 207RP1001X 29469 AL
Internal Medicine Physician 207R00000X 29469 AL Primary

Addresses

Primary practice location

5 Mobile Infirmary Cir
Mobile, AL 36607-3513

Mailing address

30575 Bainbridge Rd
Ste 200
Solon, OH 44139-2275
Phone (440) 542-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151216000691 TN Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Hospitalist 8820142763 Reassigns benefits to 7 organizations
I20200605000454 WI Practitioner - Internal Medicine 8820142763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
602TNMDMarriage & Family Therapist
29469ALMDPulmonary Disease Physician
602WIMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Wisconsin, S.C. Internal Medicine CurrentSince Mar 3, 2020 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Nov 14, 2017 Accepting new patients
Anova Medical Associates, PLC CurrentSince Feb 1, 2023 Accepting new patients
Hospital Medicine Services of TN, LLC CurrentSince Apr 1, 2023 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Nov 1, 2019 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Wellmont Medical Associates, Inc. Internal Medicine CurrentSince Nov 14, 2017 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine Current Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients

Locations

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

1156 Nashville Pike
Gallatin, TN 37066
Phone (615) 989-1088

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

315 Oak St
Livingston, TN 38570
Phone (931) 403-1197

2300 Patterson St
#M
Nashville, TN 37203

300 20th Ave N
Fl 9
Nashville, TN 37203

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010

Interoperability endpoints

  • Direct secure messaging: rknizley16267@directinfirmaryhealth.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1952501983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30575 BAINBRIDGE RD",
            "address_2": "STE 200",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392275",
            "telephone_number": "440-542-5000",
            "fax_number": "440-542-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-545-4579",
            "fax_number": "251-287-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIZLEY",
        "first_name": "ROBERT",
        "middle_name": "CLIFTON",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "602",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "29469",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "29469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.