Individual provider Active NPI

Laurence Matthew Pittman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Knoxville, TN
National Provider Identifier
1962650317
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
FP3098072 Issued in UT
Practice address
501 20TH St Ste 606
Knoxville, TN 37916-1863
Phone
(865) 546-8040
Fax
(865) 541-2288
NPI assigned
Aug 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X FP3098072 UT Primary

Addresses

Primary practice location

501 20TH St Ste 606
Knoxville, TN 37916-1863

Mailing address

501 20TH St Ste 606
Knoxville, TN 37916-1863
Phone (865) 546-8040

Other identifiers 2

IdentifierTypeStateIssuer
1532303MedicaidTN
12504733OtherCAQH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130712000704 TN Practitioner - Anesthesiology 9830340439 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
JC Edwards School of Medicine, Marshall University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Anesthesia PCGroup PAC ID 8921044744, 214 clinicians
Covenant Anesthesia Group PCGroup PAC ID 6901795830, 231 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451

1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 331-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Anesthesia PC CurrentSince Dec 9, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jul 8, 2013 Accepting new patients
Covenant Anesthesia Group, PC CurrentSince Aug 23, 2023 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Dec 9, 2024 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451

1819 Clinch Ave
Ste 206
Knoxville, TN 37916
Phone (865) 522-2949

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

9430 Park West Blvd
Ste 210
Knoxville, TN 37923
Phone (865) 531-0494

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

210 Fort Sanders West Blvd
Ste 200
Knoxville, TN 37922
Phone (865) 531-5222

Dept 888089
Knoxville, TN 37995

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1962650317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 606",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161863",
            "telephone_number": "865-546-8040",
            "fax_number": "865-541-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 606",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161863",
            "telephone_number": "865-546-8040",
            "fax_number": "865-541-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "LAURENCE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "FP3098072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532303",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12504733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.