GENESIS NEUROSCIENCE CLINIC LLC
NPI 1700497302
Family Medicine - Geriatric Medicine in Knoxville, TN

Active since August 17, 2020
1400 DOWELL SPRINGS BLVD STE 340, KNOXVILLE, TN 37909(865) 584-7376(865) 444-7672 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 16, 2025, Nov 30, 2020, Aug 17, 2020 (3 updates tracked since 2020).

About Genesis Neuroscience Clinic Llc NPPES

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

GENESIS NEUROSCIENCE CLINIC LLC (NPI 1700497302) is a healthcare organization registered as a geriatric medicine in Knoxville, Tennessee and active in the NPI registry since August 2020. The organization lists Monica K. Crane, Director, as its authorized official.

NPPES Registry Identity

NPI1700497302
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameGENESIS NEUROSCIENCE CLINIC LLC
Location Address1400 DOWELL SPRINGS BLVD STE 340Knoxville, TN 37909-2445
Mailing AddressPo Box 10367Knoxville, TN 37939-0367 · (865) 584-7376 · Fax (865) 540-3856
Fax(865) 444-7672
Organization SubpartNo
Authorized OfficialMonica K. CraneDirector · (865) 888-9494
Enumeration DateAugust 17, 2020
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1700497302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1400 DOWELL SPRINGS BLVD STE 340, Knoxville, TN 37909

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Neuroscience Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Genesis Neuroscience Clinic LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1700200771
1400 DOWELL SPRINGS BLVD STE 100
Knoxville, TN 37909
(865) 888-9494
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1982713053
1400 DOWELL SPRINGS BLVD STE 100
Knoxville, TN 37909
(865) 888-9494
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548445828
1400 DOWELL SPRINGS BLVD STE 100
Knoxville, TN 37909
(865) 888-9494
✔ PECOS✔ Accepts MedicareSame address

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 Genesis Neuroscience Clinic LLC's NPI number?

The NPI number for Genesis Neuroscience Clinic LLC is 1700497302. It was assigned to this organization in the NPPES registry on August 17, 2020.

Where is Genesis Neuroscience Clinic LLC located?

Genesis Neuroscience Clinic LLC is located at 1400 Dowell Springs Blvd Ste 340, Knoxville, TN 37909. The listed phone number is (865) 584-7376.

What is Genesis Neuroscience Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Genesis Neuroscience Clinic LLC enrolled in Medicare?

Yes. Genesis Neuroscience Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Neuroscience Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Genesis Neuroscience Clinic LLC, in Geriatric Medicine and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Genesis Neuroscience Clinic LLC was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.