KNOXVILLE MEDICAL GROUP, LLC
NPI 1235641796
Nurse Practitioner - Family in Knoxville, TN
About Knoxville Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KNOXVILLE MEDICAL GROUP, LLC (NPI 1235641796) is a healthcare organization registered as a family in Knoxville, Tennessee and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through December 10, 2027, maintains a secondary practice location in Knoxville, and lists Amber D Roberts, Billing/credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
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)
Knoxville Medical Group, Llc 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 Knoxville Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. 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.
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 44D2141265
Knoxville Medical Group, LLC · Knoxville, TNFrequently 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 Knoxville Medical Group, LLC's NPI number?
The NPI number for Knoxville Medical Group, LLC is 1235641796. It was assigned to this organization in the NPPES registry on October 24, 2017.
Where is Knoxville Medical Group, LLC located?
Knoxville Medical Group, LLC is located at 7523 Maynardville Pike, Knoxville, TN 37938. The listed phone number is (865) 630-4302.
What is Knoxville Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Knoxville Medical Group, LLC enrolled in Medicare?
Yes. Knoxville Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Knoxville Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Knoxville Medical Group, LLC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Knoxville Medical Group, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2141265) is associated with this NPI, valid through December 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Knoxville Medical Group, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Knoxville Medical Group, LLC 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 Knoxville Medical Group, LLC was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Knoxville Medical Group, Llc · NPI 1235641796
Family organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since October 24, 2017.
## Identity
- **NPI:** 1235641796 (Entity type: Organization)
- **Enumerated:** October 24, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Amber Roberts, BILLING/CREDENTIALING
## Practice location
- **Address:** 7523 MAYNARDVILLE PIKE, Knoxville, TN 37938-3722
- **Phone:** (865) 630-4302
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2022
- **Other identifiers:** Other 21594 (TN); Other 1053764761 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235641796) · Data from the CMS NPPES public registry.