Justin R. Daggett, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

63568 Issued in TN

Practice address

2100 Clinch Avenue Suite 510
Knoxville, TN 37916-2225

Phone

(865) 824-4939

Fax

(866) 630-2013

NPI assigned

Mar 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• East Tennessee Children'S Hospital Association, Inc.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Knoxville, TN
  • NPI 1912649518

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1982903712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015004",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVENUE SUITE 510",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162225",
            "telephone_number": "865-824-4939",
            "fax_number": "866-630-2013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379227713",
            "country_code": "US",
            "telephone_number": "865-824-4939",
            "fax_number": "866-630-2013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "JUSTIN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "63568",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TN",
            "license": "63568",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "63568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q066325",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca E Dade, FNP
• Meghan Elizabeth Faith Dadmun, BA
• Isaac Bradley Daffron, MD
• Susan E Daffron, APRN, BC
• Martha Catherine Dagenhart, PH.D.
• Melanie Lynn Dagostino, LMSW
• Dushyant Singh Dahiya, MD
• Heidi Dahl, MD
• Joel Dahle
• Rodd Louis Daigle, M.D.

• Plastic Surgery Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.