TENNESSEE INNOVATIVE MEDICAL SERVICES PLLC
NPI 1114285400
Radiology - Vascular & Interventional Radiology in Knoxville, TN

Active since April 25, 2012
116 CONCORD RD, STE 400, KNOXVILLE, TN 37934(865) 777-6880(865) 777-6881 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tennessee Innovative Medical Services Pllc NPPES

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

TENNESSEE INNOVATIVE MEDICAL SERVICES PLLC (NPI 1114285400) is a healthcare organization registered as a vascular & interventional radiology in Knoxville, Tennessee and active in the NPI registry since April 2012. The organization lists Jason G. Funderburk, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1114285400
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameTENNESSEE INNOVATIVE MEDICAL SERVICES PLLC
Location Address116 CONCORD RD, STE 400Knoxville, TN 37934-2940
Mailing Address194 Market Place BlvdKnoxville, TN 37922-2337 · (865) 560-8787 · Fax (865) 560-8784
Fax(865) 777-6881
Organization SubpartNo
Authorized OfficialJason G. FunderburkSole Owner · (865) 777-6880
Enumeration DateApril 25, 2012
Last NPPES UpdateJuly 2, 2012
NPI 1114285400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
116 CONCORD RD, Knoxville, TN 37934

Other Identifiers 2

Medicaid1527902TN
Medicare PIN103G707928TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Clinic/Center (Podiatric)
116 CONCORD RD, SUITE 300
KNOXVILLE, TN 37934
Radiology (Vascular & Interventional Radiology)
116 CONCORD RD, SUITE 500
KNOXVILLE, TN 37934
Family Medicine
116 CONCORD RD, STE 400
FARRAGUT, TN 37934
Podiatrist (Foot & Ankle Surgery)
116 CONCORD RD, #300
KNOXVILLE, TN 37934
Community/Behavioral Health
116 CONCORD RD, STE 100
FARRAGUT, TN 37934
Family Medicine
116 CONCORD RD, STE 400
KNOXVILLE, TN 37934

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 Tennessee Innovative Medical Services PLLC's NPI number?

The NPI number for Tennessee Innovative Medical Services PLLC is 1114285400. It was assigned to this organization in the NPPES registry on April 25, 2012.

Where is Tennessee Innovative Medical Services PLLC located?

Tennessee Innovative Medical Services PLLC is located at 116 Concord Rd Ste 400, Knoxville, TN 37934. The listed phone number is (865) 777-6880.

What is Tennessee Innovative Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Tennessee Innovative Medical Services PLLC was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.