Northshore Group - Medicare Mental Health Clinic in Knoxville, TN

Northshore Group is a medicare enrolled mental health clinic (Psychologist - Clinical) in Knoxville, Tennessee. The current practice location for Northshore Group is 1111 N Northshore Dr Ste South490, Knoxville, Tennessee. For appointments, you can reach them via phone at (865) 584-0171. The mailing address for Northshore Group is 1111 N Northshore Dr Ste South490, Knoxville, Tennessee and phone number is (865) 584-0171.

Northshore Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1790423366. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (865) 584-0171.

Contact Information

Northshore Group
1111 N Northshore Dr Ste South490
Knoxville
TN 37919-4005
(865) 584-0171
(865) 584-0174

Map and Direction


Mental Health Clinic Profile

Full NameNorthshore Group
SpecialityPsychologist
Location1111 N Northshore Dr Ste South490, Knoxville, Tennessee
Authorized Official Name and PositionMichael Calvin Hawthorne (PRESIDENT)
Authorized Official Contact8655840171
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northshore Group
1111 N Northshore Dr Ste South490
Knoxville
TN 37919-4005

Ph: (865) 584-0171
Northshore Group
1111 N Northshore Dr Ste South490
Knoxville
TN 37919-4005

Ph: (865) 584-0171

NPI Details:

NPI Number1790423366
Provider Enumeration Date05/24/2022
Last Update Date05/25/2022
Certification Date05/25/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7012374929
Medicare Enrollment IDO20230608001667

Medical Identifiers

Medical identifiers for Northshore Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790423366NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
103G00000XClinical Neuropsychologist (* (Not Available))Secondary
103TC0700XPsychologist - Clinical (* (Not Available))Primary
103TC2200XPsychologist - Clinical Child & Adolescent (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northshore Group acts as a billing entity for following providers:
Provider NameMichael C Hawthorne
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1063427821
PECOS PAC ID: 7517925050
Enrollment ID: I20041229000960
Provider NameAnne Whitney
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1538218375
PECOS PAC ID: 0244403293
Enrollment ID: I20111108000123
Provider NameEdgar H Jessee
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1760496624
PECOS PAC ID: 1153589726
Enrollment ID: I20120229000056
Provider NameBeverly Formby Mckee
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275576209
PECOS PAC ID: 4789843665
Enrollment ID: I20120313000361
Provider NameCharles R May
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1245268531
PECOS PAC ID: 0547429458
Enrollment ID: I20120313000700
Provider NameCaitlin Adele Greenwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710231964
PECOS PAC ID: 1557514346
Enrollment ID: I20130102000468
Provider NameBarbara J Godfrey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255349221
PECOS PAC ID: 0941423370
Enrollment ID: I20140603001465
Provider NameMagon Adams Shirley
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1518356021
PECOS PAC ID: 7113326794
Enrollment ID: I20210602000966

Reviews and Comments

Psychologist in Knoxville, TN

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Phone: 895-769-7491    
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Phone: 865-272-9709    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.