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SHAWNA FOLEY MD
NPI 1265964035
Emergency Medicine in Knoxville, TN

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
1924 ALCOA HWY, KNOXVILLE, TN 37920(865) 305-9401 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2020, Mar 31, 2017 (2 updates tracked since 2017).

About Shawna Foley Md NPPES

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

SHAWNA FOLEY MD (NPI 1265964035) is an individual emergency medicine provider in Knoxville, Tennessee, licensed in Tennessee (61009) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1265964035
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSHAWNA FOLEYCredential: MD
Location Address1924 ALCOA HWYKnoxville, TN 37920-1511
Mailing Address2301 Erwin RdDurham, NC 27705-4699 · (919) 684-8111
Phone(865) 305-9401
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1265964035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 61009
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1924 ALCOA HWY, Knoxville, TN 37920
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Secondary Practice Location 1

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawna Foley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577983691
PECOS Enrollment IDI20250430003627
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
219 services217 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
68 services68 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
57 services57 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340041
Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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.

MRS. SUSANNE LORI MITCHELL RN
Registered Nurse (Obstetric, High-Risk)
1924 ALCOA HWY, 6S
KNOXVILLE, TN 37920
Knox County (865) 305-8888
DR. FELIX JOSEPH NEPVEUX V M.D.
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY, UNIV. OF TENNESSEE MEDICAL CENTER, DEPT. OF PATHOLOGY
KNOXVILLE, TN 37920
Knox County (864) 498-8960
DR. SPENCER PUGH M.D.
Internal Medicine (Pulmonary Disease)
1924 ALCOA HWY, DEPARTMENT OF MEDICINE U-114 GSM, UTMCK
KNOXVILLE, TN 37920
Knox County (865) 305-9340
CAITLIN TABLER LOWE
Nurse Practitioner (Gerontology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-7255
JOAN JAKAB
Pharmacist
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-5337
UNIVERSITY PATHOLOGISTS, P.C.
Pathology (Anatomic Pathology & Clinical Pathology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-9080
DAPHNE M. NORWOOD, MD
Internal Medicine
1924 ALCOA HWY, BOX U114
KNOXVILLE, TN 37920
Knox County (865) 305-9349
ALEJANDRO CONDE
Nurse Anesthetist, Certified Registered
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-9000

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 Shawna Foley's NPI number?

The NPI number for Shawna Foley is 1265964035. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Shawna Foley located?

Shawna Foley practices at 1924 Alcoa Hwy, Knoxville, TN 37920. The listed phone number is (865) 305-9401.

What is Shawna Foley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shawna Foley enrolled in Medicare?

Yes. Shawna Foley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shawna Foley affiliated with any hospitals?

According to CMS data, Shawna Foley is affiliated with Caldwell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shawna Foley was last updated on August 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.