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

WEST KNOXVILLE MEDICAL P.L.L.C.
NPI 1124689450
General Practice in Knoxville, TN

Active since June 26, 2019CLIA 44D2319269 · Waiver
6216 HIGHLAND PLACE WAY STE 201, KNOXVILLE, TN 37919(865) 287-5904(865) 512-1412 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2026, Apr 9, 2024 (2 updates tracked since 2024).

About West Knoxville Medical P.l.l.c. NPPES

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

WEST KNOXVILLE MEDICAL P.L.L.C. (NPI 1124689450) is a healthcare organization registered as a general practice in Knoxville, Tennessee and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Nathan Leavitt, Employee, as its authorized official.

NPPES Registry Identity

NPI1124689450
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWEST KNOXVILLE MEDICAL P.L.L.C.
Location Address6216 HIGHLAND PLACE WAY STE 201Knoxville, TN 37919-4068
Mailing Address6216 Highland Place Way Ste 201Knoxville, TN 37919-4068 · (865) 287-5904 · Fax (865) 512-1412
Fax(865) 512-1412
Organization SubpartNo
Authorized OfficialNathan LeavittEmployee · (865) 621-6806
Enumeration DateJune 26, 2019
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1124689450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6216 HIGHLAND PLACE WAY STE 201, Knoxville, TN 37919

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Knoxville Medical P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to West Knoxville Medical P.L.L.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Chiropractic
NPI 1699746545
6216 HIGHLAND PLACE WAY STE 201
Knoxville, TN 37919
(865) 287-5904
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033763081
6450 PROVISION CARES WAY
Knoxville, TN 37909
(865) 862-1600
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1235785916
200 FORT SANDERS WEST BLVD STE 102
Knoxville, TN 37922
(865) 531-5350
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1023436326
1115 BLANTON DR
Sevierville, TN 37862
(865) 453-4434
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1417331059
2702 JACKSBORO PIKE
Jacksboro, TN 37757
(423) 201-9937
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1184120107
3443 DICKERSON PIKE STE 590
Nashville, TN 37207
(615) 860-3500
✔ PECOS155 mi
Nurse Practitioner
NPI 1801348982
90 SPRINGVIEW LN # A
Summerville, SC 29485
(843) 832-9113
✔ PECOS✔ Accepts Medicare300 mi

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

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 44D2319269

West Knoxville Medical PLLC · Knoxville, TN
Active · expires Feb 25, 2027
CLIA Number44D2319269
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorMeredith Cromer
Laboratory Phone(865) 287-5904
Laboratory LocationWest Knoxville Medical PLLC6216 Highland Place Way Suite #201, Knoxville, TN 37919
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 West Knoxville Medical P.L.L.C.'s NPI number?

The NPI number for West Knoxville Medical P.L.L.C. is 1124689450. It was assigned to this organization in the NPPES registry on June 26, 2019.

Where is West Knoxville Medical P.L.L.C. located?

West Knoxville Medical P.L.L.C. is located at 6216 Highland Place Way Ste 201, Knoxville, TN 37919. The listed phone number is (865) 287-5904.

What is West Knoxville Medical P.L.L.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is West Knoxville Medical P.L.L.C. enrolled in Medicare?

Yes. West Knoxville Medical P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Knoxville Medical P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to West Knoxville Medical P.L.L.C.. 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 (6) and Chiropractic (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Knoxville Medical P.L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2319269) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Knoxville Medical P.L.L.C. was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.