TENNESSEE UROLOGY ASSOCIATES, PLLC - NPI 1669416442

Q: What is the provider's specialty?

The provider's specialty is Urology with taxonomy code 208800000X.

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About Tennessee Urology Associates, Pllc NPPES

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

TENNESSEE UROLOGY ASSOCIATES, PLLC (NPI 1669416442) is a healthcare organization registered as an urology in Oak Ridge, Tennessee and active in the NPI registry since June 2006. The organization holds 3 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists Jennifer Ruh, A/r Admin, as its authorized official.

NPPES Registry Identity

NPI1669416442

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameTENNESSEE UROLOGY ASSOCIATES, PLLC

Location Address800 OAK RIDGE TPKE STE A101Oak Ridge, TN 37830-6958

Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366

Phone(865) 483-1093

Organization SubpartNo

Authorized OfficialJennifer RuhA/r Admin · (000) 000-0000

Enumeration DateJune 15, 2006

Last NPPES UpdateMarch 6, 20259 updates tracked since enumeration

NPPES CertifiedMarch 6, 2025

✔ NPI 1669416442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

800 OAK RIDGE TPKE STE A101, Oak Ridge, TN 37830

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Secondary Practice Locations 6

Location 19245 Park West BlvdKnoxville, TN 37923-4425 · Phone (865) 690-3811

Location 27557 Dannaher DrPowell, TN 37849-3558 · Phone (865) 938-5222

Location 3550 Town Creek Rd ELenoir City, TN 37772-6289 · Phone (865) 986-4713

Location 49330 Park West BlvdKnoxville, TN 37923-4308 · Phone (865) 691-3061

Location 51405 S Sizer Ave Ste AJefferson City, TN 37760-2421 · Phone (865) 483-1093

Location 61855 Tanner Way Ste 240Harriman, TN 37748-8331 · Phone (865) 483-1093

Other Identifiers 3

Medicaid3714759TN

OtherCI2260TN · Medicare Railroad

Medicaid3714755TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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) 44D1106281

Tennessee Urology Associates PLLC Urology Consultants · Lenoir City, TN

Active · expires Oct 8, 2027

CLIA Number44D1106281

Laboratory TypePhysician Office

Certificate Effective DateOctober 9, 2025

Certificate Expiration DateOctober 8, 2027

Laboratory DirectorLee Congleton III MD

Laboratory Phone(443) 738-8170

Laboratory LocationTennessee Urology Associates PLLC Urology Consultants550 Town Creek Road, East-Suite #203, Lenoir City, TN 37772

CLIA data matches this NPI record on: Address Name

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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0990250

Tennessee Urology Associates, PLLC · Jefferson City, TN

Active · expires Aug 16, 2027

CLIA Number44D0990250

Laboratory TypePhysician Office

Certificate Effective DateAugust 17, 2025

Certificate Expiration DateAugust 16, 2027

Laboratory DirectorDr. Timothy J. Leroy

Laboratory Phone(865) 690-3811

Laboratory LocationTennessee Urology Associates, PLLC1405 South Sizer Rd, Suite A, Jefferson City, TN 37760

CLIA data matches this NPI record on: Name Phone

Certificate of Compliance 44D0234042

Tennessee Urology Associates PLLC Dba Tennessee Urology Associates · Oak Ridge, TN

Active · expires Nov 6, 2027

CLIA Number44D0234042

Laboratory TypePhysician Office

Certificate Effective DateNovember 7, 2025

Certificate Expiration DateNovember 6, 2027

Laboratory DirectorDr. Joseph B. Eatherly

Laboratory Phone(865) 483-1800

Laboratory LocationTennessee Urology Associates PLLC Dba Tennessee Urology Associates800 Oak Ridge Turnpike, Ste A-101, Oak Ridge, TN 37830

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

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

DR. DEVARSHI J DESAI M.D.

Radiology (Diagnostic Radiology)