TENNESSEE NEPHROLOGY CLINIC, PLLC
NPI 1164795159
Internal Medicine - Nephrology in Maryville, TN
About Tennessee Nephrology Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TENNESSEE NEPHROLOGY CLINIC, PLLC (NPI 1164795159) is a healthcare organization registered as a nephrology in Maryville, Tennessee and active in the NPI registry since February 2012. The organization lists Mohammad Javeed Shafi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tennessee Nephrology Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Tennessee Nephrology Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Tennessee Nephrology Clinic, PLLC's NPI number?
The NPI number for Tennessee Nephrology Clinic, PLLC is 1164795159. It was assigned to this organization in the NPPES registry on February 22, 2012.
Where is Tennessee Nephrology Clinic, PLLC located?
Tennessee Nephrology Clinic, PLLC is located at 714 E Harper Ave, Maryville, TN 37804. The listed phone number is (865) 238-6580.
What is Tennessee Nephrology Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Tennessee Nephrology Clinic, PLLC enrolled in Medicare?
Yes. Tennessee Nephrology Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tennessee Nephrology Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Tennessee Nephrology Clinic, PLLC, in Nephrology and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tennessee Nephrology Clinic, PLLC accept?
Health plans from Cigna Healthcare list Tennessee Nephrology Clinic, PLLC 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 Tennessee Nephrology Clinic, PLLC was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Tennessee Nephrology Clinic, Pllc · NPI 1164795159
Nephrology organization in Maryville, Tennessee. Organization record, active in the CMS NPPES registry since February 22, 2012.
## Identity
- **NPI:** 1164795159 (Entity type: Organization)
- **Enumerated:** February 22, 2012
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Mohammad Shafi, OWNER
## Practice location
- **Address:** 714 E HARPER AVE, Maryville, TN 37804-4028
- **Phone:** (865) 238-6580 · **Fax:** (865) 238-6585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Nephrology (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164795159) · Data from the CMS NPPES public registry.