Rocky Top Medical Center

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DO0000001152 Issued in TN

Legal business name

ROCKY TOP MEDICAL CENTER

Practice address

1105 Oak Cluster Dr
Sevierville, TN 37862-6079

Phone

(865) 908-3636

Fax

(865) 908-3632

NPI assigned

Sep 17, 2007

Organization subpart

No

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

Authorized official

Name

Steven Johnson, D.O.NPI 1700853058

Title

Owner

Phone

(865) 908-3636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Wayne Johnson, DO

  • Family Medicine Physician
  • Sevierville, TN
  • NPI 1700853058
  Medicare reassignment NPD Authorized official
• Ashley M Carr, FNP-C

  • Family Nurse Practitioner
  • Gatlinburg, TN
  • NPI 1649839044
  Medicare reassignment NPD
• Tammy Hughes

  • Family Nurse Practitioner
  • Sevierville, TN
  • NPI 1225483373
  Medicare reassignment NPD
• Wendell Keith Porter, PA-C

  • Medical Physician Assistant
  • Sevierville, TN
  • NPI 1487624623
  NPD

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1962698696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 OAK CLUSTER DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626079",
            "telephone_number": "865-908-3636",
            "fax_number": "865-908-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 OAK CLUSTER DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626079",
            "telephone_number": "865-908-3636",
            "fax_number": "865-908-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY TOP MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-908-3636",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "DO0000001152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi K Roberts, PMHNP-BC
• Kristin Louise Roberts, LCSW
• Amy Rose Robertson, FNP-BC
• David R Robins Sr., D.O.
• Leandreal Robinson, MSW
• Amanda Rodgers, IBCLC
• Jennifer Lynn Ross
• Tabitha Kristy Rossini, AUD
• Joseph Michael Rothwell, MD
• Saber Medical Transport LLC

• Preferred Provider Organization in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Preferred Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.