JAMES M CARLSON DO
NPI 1174568315
Family Medicine in Knoxville, TN

Active since June 19, 2006Opted out of Medicare · through Jul 1, 2028
7211 WELLINGTON DR, SUITE 201, KNOXVILLE, TN 37919(865) 584-5762 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About James M Carlson Do NPPES

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

JAMES M CARLSON DO (NPI 1174568315) is an individual family medicine provider in Knoxville, Tennessee, licensed in Tennessee (1048) and active in the NPI registry since June 2006. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174568315
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES M CARLSONCredential: DO
Location Address7211 WELLINGTON DR, SUITE 201Knoxville, TN 37919-5968
Mailing Address1225 E Weisgarber Rd, Suite 200Knoxville, TN 37909-2604 · (865) 584-4747
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateSeptember 23, 2008
✔ NPI 1174568315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 1048
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.
7211 WELLINGTON DR, Knoxville, TN 37919

Other Identifiers 5

Medicare ID-Type Unspecified3717544TN · Legacy Group
Medicare ID-Type Unspecified3304238TN · Legacy Pin
Medicaid3304235TN
Other930041887TN · Rr Medicare
Medicare UPING18086

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

James M Carlson Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2018 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2018
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37919 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
7211 WELLINGTON DR, SUITE 101
KNOXVILLE, TN 37919
Family Medicine
7211 WELLINGTON DR, SUITE 201
KNOXVILLE, TN 37919
Family Medicine
7211 WELLINGTON DR, SUITE 201
KNOXVILLE, TN 37919
Nurse Practitioner (Family)
7211 WELLINGTON DR, SUITE 201
KNOXVILLE, TN 37919
Family Medicine
7211 WELLINGTON DR
KNOXVILLE, TN 37919
Family Medicine
7211 WELLINGTON DR, SUITE 201
KNOXVILLE, TN 37919
Family Medicine
7211 WELLINGTON DR, SUITE 201
KNOXVILLE, TN 37919
Family Medicine
7211 WELLINGTON DR, SUITE 201
KNOXVILLE, TN 37919

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 James Carlson's NPI number?

The NPI number for James Carlson is 1174568315. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is James Carlson located?

James Carlson practices at 7211 Wellington Dr Suite 201, Knoxville, TN 37919. The listed phone number is (865) 584-5762.

What is James Carlson's specialty?

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

Is James Carlson enrolled in Medicare?

No. James Carlson has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for James Carlson was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.