TENNESSEE NEPHROLOGY CLINIC, PLLC
NPI 1164795159
Internal Medicine - Nephrology in Maryville, TN

Active since February 22, 2012
714 E HARPER AVE, MARYVILLE, TN 37804(865) 238-6580(865) 238-6585 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1164795159
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameTENNESSEE NEPHROLOGY CLINIC, PLLC
Location Address714 E HARPER AVEMaryville, TN 37804-4028
Mailing Address6311 Kingston Pike Ste 26Knoxville, TN 37919-4900 · (865) 238-6580 · Fax (865) 238-6585
Fax(865) 238-6585
Organization SubpartNo
Authorized OfficialMohammad Javeed ShafiOwner · (865) 982-5044
Enumeration DateFebruary 22, 2012
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
NPI 1164795159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TN · MD30912
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
714 E HARPER AVE, Maryville, TN 37804

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
714 E HARPER AVE
MARYVILLE, TN 37804

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.

What insurance does Tennessee Nephrology Clinic, PLLC 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 1 other insurer 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 6 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.