FARRAGUT WALK IN CLINIC (NPI# 1821296625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821296625 |
| Entity Type | Organization |
| Organization Name | FARRAGUT WALK IN CLINIC |
| Practice Address |
11408 Kingston Pike Suite 400 Knoxville TN 37934-3975 |
| Practice Telephone | 8656716026 |
| Practice Fax Number | 8656716062 |
| Mailing Telephone | 8656716026 |
| Mailing Fax Number | 8656716062 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. DAVID G PETTY JR. (OWNER) |
| Authorized Official Telephone | 8656716026 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | ========= | TN | Managed Care Organizations |
| Street Address |
11408 KINGSTON PIKE SUITE 400 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366481574 | David Gordon Petty Jr. | Internal Medicine | 11408 Kingston Pike, Suite 400, Knoxville, TN 37934-3975 | 2006-06-05 |
| 1316492887 | Redmon Family Practice Pllc | Family Medicine | 11408 Kingston Pike, Ste 400, Knoxville, TN 37934-3975 | 2016-08-24 |
| 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 | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
| 1063876076 | Petre-jo LLC | Preferred Provider Organization | 607 W Due West Ave Ste 95, Madison, TN 37115-4415 | 2016-04-06 |
| 1417312562 | Germantown Dental | Preferred Provider Organization | 1324 4th Ave N, Nashville, TN 37208-2716 | 2015-12-16 |
| 1083081202 | United Therapy Network LLC | Preferred Provider Organization | 410 New Salem Hwy Ste 103, Murfreesboro, TN 37129-3361 | 2015-08-24 |
| 1497158885 | Rebeccah Fore | Preferred Provider Organization | 331 Plus Park Blvd. #150, Nashville, TN 37217 | 2014-09-30 |
| 1215349204 | Quality Care Services of Tennessee | Preferred Provider Organization | 7965 Meadow Vale Dr, Memphis, TN 38125-3121 | 2014-05-24 |
| 1235540576 | Absolute Ps, Inc. | Preferred Provider Organization | 404 Karstridge Rd, Smyrna, TN 37167-5132 | 2014-05-08 |
| 1730505173 | Reyland Health & Wellness Solutions | Preferred Provider Organization | 1138 Zirkle Rd, Dandridge, TN 37725-4234 | 2014-03-10 |
| 1992043111 | L.m. Walker & Associates, P.C. | Preferred Provider Organization | 4250 Faronia Rd Ste 4, Memphis, TN 38116-6527 | 2013-01-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| Find all providers with the same taxonomy | ||||
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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.