VICTORY TREATMENT PROGRAM, LLC
NPI 1508320623
Family Medicine in Knoxville, TN

Q: What is Victory Treatment Program, LLC's NPI number?

The NPI number for Victory Treatment Program, LLC is 1508320623. It was assigned to this organization in the NPPES registry on January 23, 2019. The provider is doing business as Maltman Medical Center.

Q: What is Victory Treatment Program, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 23, 2019CLIA 44D2120862 · Microscopy

9051 EXECUTIVE PARK DR STE 202, KNOXVILLE, TN 37923(865) 337-7812(865) 240-3539 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Victory Treatment Program, Llc NPPES

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

VICTORY TREATMENT PROGRAM, LLC (NPI 1508320623), doing business as Maltman Medical Center, is a healthcare organization registered as a family medicine in Knoxville, Tennessee and active in the NPI registry since January 2019. The organization holds a CLIA Microscopy certificate valid through October 25, 2026 and lists Tracey R. Maltman, Owner, as its authorized official.

NPPES Registry Identity

NPI1508320623

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameVICTORY TREATMENT PROGRAM, LLC

Location Address9051 EXECUTIVE PARK DR STE 202Knoxville, TN 37923-4626

Mailing Address9051 Executive Park Dr Ste 202Knoxville, TN 37923-4626 · (865) 337-7812 · Fax (865) 240-3539

Phone(865) 337-7812

Fax(865) 240-3539

Organization SubpartNo

Authorized OfficialTracey R. MaltmanOwner · (865) 337-7812

Enumeration DateJanuary 23, 2019

✔ NPI 1508320623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9051 EXECUTIVE PARK DR STE 202, Knoxville, TN 37923

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Other Names 1

Doing Business AsMaltman Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 44D2120862

Victory Treatment Program, LLC Dba Maltman Medical Center · Knoxville, TN

Active · expires Oct 25, 2026

CLIA Number44D2120862

Laboratory TypePractitioner Other

Certificate Effective DateOctober 26, 2024

Certificate Expiration DateOctober 25, 2026

Laboratory DirectorStacey R. Maltman

Laboratory Phone(865) 337-7812

Laboratory LocationVictory Treatment Program, LLC Dba Maltman Medical Center9051 Executive Park Dr Ste 202, Knoxville, TN 37923

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MALTMAN MEDICAL CENTER LLC

Nurse Practitioner

9051 EXECUTIVE PARK DR STE 202
KNOXVILLE, TN 37923

Knox County (865) 337-7793

ERIKA NOELLE DRAPER

Nurse Practitioner (Psychiatric/Mental Health)

9051 EXECUTIVE PARK DR STE 202
KNOXVILLE, TN 37923

Knox County (865) 337-7812

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 Victory Treatment Program, LLC's NPI number?

The NPI number for Victory Treatment Program, LLC is 1508320623. It was assigned to this organization in the NPPES registry on January 23, 2019. The provider is doing business as Maltman Medical Center.

Where is Victory Treatment Program, LLC located?

Victory Treatment Program, LLC is located at 9051 Executive Park Dr Ste 202, Knoxville, TN 37923. The listed phone number is (865) 337-7812.

What is Victory Treatment Program, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Victory Treatment Program, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2120862) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Victory Treatment Program, LLC was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.