KNOXVILLE SPINE SURGERY LLC
NPI 1093570426
Clinic/Center - Ambulatory Surgical in Knoxville, TN

Active since February 15, 2024CLIA 44D2307000 · Waiver
1128 E WEISGARBER RD STE 100, KNOXVILLE, TN 37909(865) 524-1869 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Knoxville Spine Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KNOXVILLE SPINE SURGERY LLC (NPI 1093570426) is a healthcare organization registered as an ambulatory surgical in Knoxville, Tennessee and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Josh Rudd, Administator, as its authorized official.

NPPES Registry Identity

NPI1093570426
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKNOXVILLE SPINE SURGERY LLC
Location Address1128 E WEISGARBER RD STE 100Knoxville, TN 37909-2677
Mailing Address1932 Alcoa Hwy Ste C360Knoxville, TN 37920-1509 · (865) 524-1869
Organization SubpartNo
Authorized OfficialJosh RuddAdministator · (865) 524-1869
Enumeration DateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
NPI 1093570426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1128 E WEISGARBER RD STE 100, Knoxville, TN 37909

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2307000

Knoxville Spine Surgery LLC · Knoxville, TN
Active · expires Jun 27, 2028
CLIA Number44D2307000
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorCarter S. Gerard
Laboratory Phone(865) 524-1869
Laboratory LocationKnoxville Spine Surgery LLC1128 Weisgarber Rd, Ste 100, Knoxville, TN 37909
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1128 E WEISGARBER RD STE 100
KNOXVILLE, TN 37909
Nurse Practitioner (Family)
1128 E WEISGARBER RD STE 100
KNOXVILLE, TN 37909
Nurse Practitioner (Family)
1128 E WEISGARBER RD STE 100
KNOXVILLE, TN 37909
Nurse Practitioner
1128 E WEISGARBER RD STE 100
KNOXVILLE, TN 37909
Physical Therapist
1128 E WEISGARBER RD STE 100
KNOXVILLE, TN 37909
Anesthesiology
1128 E WEISGARBER RD STE 100
KNOXVILLE, TN 37909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Knoxville Spine Surgery LLC's NPI number?

The NPI number for Knoxville Spine Surgery LLC is 1093570426. It was assigned to this organization in the NPPES registry on February 15, 2024.

Where is Knoxville Spine Surgery LLC located?

Knoxville Spine Surgery LLC is located at 1128 E Weisgarber Rd Ste 100, Knoxville, TN 37909. The listed phone number is (865) 524-1869.

What is Knoxville Spine Surgery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Knoxville Spine Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2307000) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Knoxville Spine Surgery LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Knoxville Spine Surgery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Knoxville Spine Surgery LLC was last updated on February 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.