1. Home
  2. Directory
  3. Tennessee
  4. Knoxville
  5. Internal Medicine
  6. NPI Profile

DR. DAVID GORDON PETTY JR. M.D.
NPI 1366481574
Internal Medicine in Knoxville, TN

Active since June 05, 2006PECOS Enrolled
11408 KINGSTON PIKE, SUITE 400, KNOXVILLE, TN 37934(865) 671-6026 Get Directions Write a Review

NPPES record last updated: January 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Gordon Petty Jr. M.d. NPPES

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

DR. DAVID GORDON PETTY JR. M.D. (NPI 1366481574) is an individual internal medicine provider in Knoxville, Tennessee, licensed in Tennessee (MD14895) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366481574
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID GORDON PETTY JR.Credential: M.D.
Location Address11408 KINGSTON PIKE, SUITE 400Knoxville, TN 37934-3975
Mailing Address11408 Kingston Pike, Suite 400Knoxville, TN 37934-3975 · (865) 671-6026
Phone(865) 671-6026
Sole ProprietorYes
Enumeration DateJune 5, 2006
Last NPPES UpdateJanuary 15, 2009
✔ NPI 1366481574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · MD14895
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11408 KINGSTON PIKE, Knoxville, TN 37934
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIND74291TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Gordon Petty Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37934 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
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 2

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

REDMON FAMILY PRACTICE PLLC
Family Medicine
11408 KINGSTON PIKE, STE 400
KNOXVILLE, TN 37934
Knox County (865) 392-1888
FARRAGUT WALK IN CLINIC
Preferred Provider Organization
11408 KINGSTON PIKE, SUITE 400
KNOXVILLE, TN 37934
Knox County (865) 671-6026

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 David Petty's NPI number?

The NPI number for David Petty is 1366481574. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is David Petty located?

David Petty practices at 11408 Kingston Pike Suite 400, Knoxville, TN 37934. The listed phone number is (865) 671-6026.

What is David Petty's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Petty enrolled in Medicare?

Yes. David Petty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Petty was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.