ADVANTAGE FAMILY HEALTHCARE, PLLC (NPI# 1659403590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659403590 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE FAMILY HEALTHCARE, PLLC |
| Other Organization Name | CAMPBELL STATION PRIMARY CARE ASSOCIATES |
| Practice Address |
11541 Kingston Pike 101 Knoxville TN 37934-3918 |
| Practice Telephone | 8656757522 |
| Practice Fax Number | 8656713196 |
| Mailing Telephone | 8656757522 |
| Mailing Fax Number | 8656713196 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2009-12-11 |
| Authorized Official Name | MR. ROBERT M MARTIN (CHIEF MANAGER) |
| Authorized Official Telephone | 8656757522 |
| Authorized Official Credential | APRN, BC, RN, MT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
========= | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | AETNA US HEALTHCARE ID | 7768236 | 01 |
| TN | UNITED HEALTH RIVER VALL | TN103 | 01 |
| TN | BLUECROSS BLUESHIELD OF T | 4050284 | 01 |
| TN | PHP CARITEN ID NUMBER | 100034888 | 01 |
| TN | BCBST GROUP | 4029196 | 01 |
| TN | 3728422 | 05 | |
| TN | UNITED HEALTHCARE GROUP # | 190646 | 01 |
| Other Name | Type Code |
|---|---|
| Campbell Station Primary Care Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629735 | Advantage Family Healthcare, Pllc | Nurse Practitioner | 11541 Kingston Pike, Ste 101, Knoxville, TN 37934-3918 | 2005-06-19 |
| Street Address |
11541 KINGSTON PIKE 101 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
| 1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
| 1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
| 1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
| 1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
| 1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
| Find all providers in zip 37934 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447645130 | Leconte Medical Group, LLC | Clinic/Center | 129 S Gay St, Suite B, Knoxville, TN 37902-1004 | 2015-03-31 |
| 1003218207 | Urgent Care Centers Across America | Clinic/Center | 9221 Middlebrook Pike # 203, Knoxville, TN 37931-4764 | 2014-09-18 |
| 1376943878 | Drs Black&benton Pediatrics | Clinic/Center | 4741 N Broadway St Ste B, Knoxville, TN 37918-1793 | 2014-09-03 |
| 1821323924 | The Sunflower Clinic | Clinic/Center | 730 Colony Village Way, Knoxville, TN 37923-7125 | 2009-10-07 |
| 1306086277 | Travel Center Clinics | Clinic/Center | 13060 Palestine Ln, Knoxville, TN 37934-0823 | 2009-03-04 |
| 1356547988 | Children's Primary Care Center | Clinic/Center | 224 Peters Rd # 105, Knoxville, TN 37923-5203 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1417152695 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4529 Asheville Highway, Knoxville, TN 37914 | 2007-06-18 |
| 1306041587 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 1341 Branton Boulevard #102, Knoxville, TN 37922 | 2007-06-18 |
| 1265409957 | West Hills Family Practice | Clinic/Center | 7007 Kingston Pike, Knoxville, TN 37919-5706 | 2006-03-02 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.