FACULTY INTERNAL MEDICINE PLLC
NPI 1417095308
Specialist in Knoxville, TN
About Faculty Internal Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FACULTY INTERNAL MEDICINE PLLC (NPI 1417095308) is a healthcare organization registered as a specialist in Knoxville, Tennessee and active in the NPI registry since February 2007. The organization lists Crystal Dawn Lester, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Faculty Internal Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Faculty Internal Medicine PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (19)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Faculty Internal Medicine PLLC's NPI number?
The NPI number for Faculty Internal Medicine PLLC is 1417095308. It was assigned to this organization in the NPPES registry on February 2, 2007.
Where is Faculty Internal Medicine PLLC located?
Faculty Internal Medicine PLLC is located at 11440 Parkside Dr Suite 302, Knoxville, TN 37934. The listed phone number is (865) 218-9220.
What is Faculty Internal Medicine PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Faculty Internal Medicine PLLC enrolled in Medicare?
Yes. Faculty Internal Medicine PLLC is registered in the Medicare PECOS enrollment system.
When is Faculty Internal Medicine PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Faculty Internal Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 2 Medicare specialties reassign their Medicare billing to Faculty Internal Medicine PLLC. 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. The largest specialties are Internal Medicine (13) and Nurse Practitioner (6). Of these, 6 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Faculty Internal Medicine PLLC was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Faculty Internal Medicine Pllc · NPI 1417095308
Specialist organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since February 2, 2007.
## Identity
- **NPI:** 1417095308 (Entity type: Organization)
- **Enumerated:** February 2, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Crystal Lester, BILLING MANAGER
## Practice location
- **Address:** 11440 PARKSIDE DR, SUITE 302, Knoxville, TN 37934-2658
- **Phone:** (865) 218-9220 · **Fax:** (865) 218-3332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 19 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (13), Nurse Practitioner (6); 6 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 3723629 (TN); Medicaid 3623639 (TN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1417095308) · Data from the CMS NPPES public registry.