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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN BURR ROBERTSON JR. MD
NPI 1407840481
Psychiatry & Neurology - Addiction Psychiatry in Knoxville, TN

Active since September 07, 2005Opted out of Medicare · through Mar 28, 2027
10241 KINGSTON PIKE, SUITE 1 AND 2, KNOXVILLE, TN 37922(865) 691-1165(865) 690-6042 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About John Burr Robertson Jr. Md NPPES

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

JOHN BURR ROBERTSON JR. MD (NPI 1407840481) is an individual addiction psychiatry provider in Knoxville, Tennessee, licensed in Tennessee (MD0000021455) and active in the NPI registry since September 2005. He has opted out of Medicare through March 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407840481
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameJOHN BURR ROBERTSON JR.Credential: MD
Location Address10241 KINGSTON PIKE, SUITE 1 AND 2Knoxville, TN 37922-3240
Mailing Address10241 Kingston Pike, Suite 1 And 2Knoxville, TN 37922-3240 · (865) 691-1165 · Fax (865) 690-6042
Phone(865) 691-1165
Fax(865) 690-6042
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1407840481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in TN · MD0000021455
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD0000021455 (TN)
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License MD0000021455 (TN)
10241 KINGSTON PIKE, Knoxville, TN 37922
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

John Burr Robertson Jr. Md 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 March 28, 2013 through March 28, 2027.

Opt-Out Effective DateMarch 28, 2013
Opt-Out In Effect ThroughMarch 28, 2027Opt-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.

Other Providers at the Same Location NPPES 3

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

CENTER FOR FAMILY PSYCHIATRY PC
Psychiatry & Neurology (Psychiatry)
10241 KINGSTON PIKE, SUITE 1 AND 2
KNOXVILLE, TN 37922
Knox County (865) 691-1165
KELLEY DENISE WALKER MD
Psychiatry & Neurology (Psychiatry)
10241 KINGSTON PIKE, SUITE 1 AND 2
KNOXVILLE, TN 37922
Knox County (865) 691-1165
MR. DARIN SCOTT WHITE PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
10241 KINGSTON PIKE
KNOXVILLE, TN 37922
Knox County (865) 691-1165

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 John Robertson's NPI number?

The NPI number for John Robertson is 1407840481. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is John Robertson located?

John Robertson practices at 10241 Kingston Pike Suite 1 And 2, Knoxville, TN 37922. The listed phone number is (865) 691-1165.

What is John Robertson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is John Robertson enrolled in Medicare?

No. John Robertson has opted out of Medicare through March 28, 2027. 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 John Robertson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.