Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEDADVANCE PLLC
NPI 1104634377
Family Medicine in Knoxville, TN

Active since December 20, 2024
800 S GAY ST STE 700, KNOXVILLE, TN 37929(440) 652-8748(440) 582-3171 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Aug 24, 2026, May 20, 2025 and 2 more (5 updates tracked since 2024).

About Medadvance Pllc NPPES

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

MEDADVANCE PLLC (NPI 1104634377) is a healthcare organization registered as a family medicine in Knoxville, Tennessee and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Somers Point and lists Tracy Wimberg, Vp Billing Operations, as its authorized official.

NPPES Registry Identity

NPI1104634377
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDADVANCE PLLC
Location Address800 S GAY ST STE 700Knoxville, TN 37929-9703
Mailing Address731 Bay AveSomers Point, NJ 08244-2378 · Fax (440) 582-3171
Fax(440) 582-3171
Organization SubpartNo
Authorized OfficialTracy WimbergVp Billing Operations · (609) 517-2526
Enumeration DateDecember 20, 2024
Last NPPES UpdateOctober 15, 20265 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1104634377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
800 S GAY ST STE 700, Knoxville, TN 37929

Secondary Practice Location 1

Location 1731 Bay AveSomers Point, NJ 08244-2378 · Phone (865) 888-9958 · Fax (440) 582-3171

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medadvance Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Medadvance PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1104695428
5555 CLINTON HWY
Knoxville, TN 37912
(888) 211-0637
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1386322774
6216 HIGHLAND PLACE WAY STE 102
Knoxville, TN 37919
(865) 470-6121
✔ PECOS✔ Accepts Medicare5.4 mi
Family Practice
NPI 1891926440
1400 DOWELL SPRINGS BLVD BUILDING 1400, SUITE 340
Knoxville, TN 37909
(865) 588-1605
✔ PECOS✔ Accepts Medicare6.1 mi
Family Practice
NPI 1770712994
266 JOULE ST
Alcoa, TN 37701
(865) 984-3864
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1871175273
380 CLIFTON HEIGHTS RD
Newport, TN 37821
(423) 608-0605
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1508477209
268 ROLLING HILLS BLVD
Monticello, KY 42633
(606) 753-0293
✔ PECOS✔ Accepts Medicare80 mi
Nurse Practitioner
NPI 1083117626
1010 GLENBROOK WAY
Hendersonville, TN 37075
(615) 590-1018
✔ PECOS✔ Accepts Medicare153 mi
Nurse Practitioner
NPI 1982386496
12301 RIDGE RD
North Royalton, OH 44133
(440) 652-8748
✔ PECOS✔ Accepts Medicare388 mi
Nurse Practitioner
NPI 1427646306
913 LOS COLONIS DR
Virginia Beach, VA 23456
(502) 424-8978
✔ PECOS✔ Accepts Medicare445 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medadvance PLLC's NPI number?

The NPI number for Medadvance PLLC is 1104634377. It was assigned to this organization in the NPPES registry on December 20, 2024.

Where is Medadvance PLLC located?

Medadvance PLLC is located at 800 S Gay St Ste 700, Knoxville, TN 37929. The listed phone number is (440) 652-8748.

What is Medadvance PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Medadvance PLLC enrolled in Medicare?

Yes. Medadvance PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medadvance PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Medadvance PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7) and Family Practice (2). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Medadvance PLLC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.