Knoxville Medical Group, LLC
NPI 1235641796ActiveOrganization· Nurse Practitioner, Family· Knoxville, TN
Nurse Practitioner, Family in Knoxville, Tennessee, registered in NPPES in October 2017. The authorized official on file is Amber D. Roberts, Billing/Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235641796 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2017 |
| Last updated in NPPES | Apr 20, 2022 |
| Certified by provider | Apr 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 21594 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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