| Knoxville Neurology Clinic, P.l.l.c. | |
|
2200 Sutherland Ave. Knoxville TN 37919 | |
| (865) 521-6174 | |
| Not Available |
| Full Name | Knoxville Neurology Clinic, P.l.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2200 Sutherland Ave., Knoxville, Tennessee |
| Authorized Official Name and Position | Jim K Campbell (ADMINISTRATOR) |
| Authorized Official Contact | 8655216174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knoxville Neurology Clinic, P.l.l.c. 2200 Sutherland Ave. Knoxville TN 37919 Ph: (865) 521-6174 | Knoxville Neurology Clinic, P.l.l.c. 2200 Sutherland Ave. Knoxville TN 37919 Ph: (865) 521-6174 |
| NPI Number | 1992775605 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 07/01/2009 |
| Medicare PECOS PAC ID | 7315835527 |
|---|---|
| Medicare Enrollment ID | O20040309000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992775605 | NPI | - | NPPES |
| 3381281 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Steven P Rider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730159534 PECOS PAC ID: 8325076268 Enrollment ID: I20050801000981 |
| Provider Name | Brian F Wiseman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669442547 PECOS PAC ID: 2769415132 Enrollment ID: I20050915000815 |
| Provider Name | Karen Mullins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710951728 PECOS PAC ID: 3577468503 Enrollment ID: I20060207000247 |
| Provider Name | Randall G Trudell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083684724 PECOS PAC ID: 7618092966 Enrollment ID: I20101020000421 |
| Provider Name | John Henry Dougherty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497725121 PECOS PAC ID: 0749477545 Enrollment ID: I20101206000862 |
| Provider Name | Michelle L Brewer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023088721 PECOS PAC ID: 1052509106 Enrollment ID: I20101216000472 |
Lane M. Cook, M.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4428 Sutherland Ave, Knoxville, TN 37919 Phone: 865-588-6425 Fax: 865-584-8066 | |
David Friend, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9631 W Emory Rd., Knoxville, TN 37931 Phone: 865-219-9559 | |
Omega Pain Management, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6348 Lonas Spring Dr, Knoxville, TN 37909 Phone: 865-337-5137 Fax: 888-839-6922 | |
The Next Door Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2636 Maryville Pike, Knoxville, TN 37920 Phone: 865-934-2890 Fax: 865-934-2894 | |
Mckinnon Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6626 Central Avenue Pike, Knoxville, TN 37912 Phone: 865-235-9742 | |
Rha Health Services Tn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr Ste 705, Knoxville, TN 37923 Phone: 895-769-7491 | |
Weatherstone Collaborative Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Ebenezer Rd, Knoxville, TN 37923 Phone: 865-272-9709 |