Edmunds Gastroenterology, PLLC
NPI 1972084069ActiveOrganization· Internal Medicine, Gastroenterology· Knoxville, TN
Internal Medicine, Gastroenterology in Knoxville, Tennessee, registered in NPPES in August 2018. The authorized official on file is Pat Jenkins, Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972084069 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2018 |
| Last updated in NPPES | Aug 9, 2021 |
| Certified by provider | Aug 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | MD26426 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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