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KNOXVILLE MEDICAL AND INDUSTRIAL CLINIC
NPI 1790729515
Family Medicine in Knoxville, TN

Active since June 15, 2006
4306 ASHEVILLE HWY, KNOXVILLE, TN 37914(865) 522-2168(865) 522-7116 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Knoxville Medical And Industrial Clinic NPPES

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

KNOXVILLE MEDICAL AND INDUSTRIAL CLINIC (NPI 1790729515) is a healthcare organization registered as a family medicine in Knoxville, Tennessee and active in the NPI registry since June 2006. The organization lists Phillip M Watson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1790729515
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKNOXVILLE MEDICAL AND INDUSTRIAL CLINIC
Location Address4306 ASHEVILLE HWYKnoxville, TN 37914-3601
Mailing Address4306 Asheville HwyKnoxville, TN 37914-3601 · (865) 522-2168 · Fax (865) 522-7116
Phone(865) 522-2168
Fax(865) 522-7116
Organization SubpartNo
Authorized OfficialPhillip M WatsonPresident/owner · (865) 522-2168
Enumeration DateJune 15, 2006
Last NPPES UpdateApril 22, 2008
✔ NPI 1790729515 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.
4306 ASHEVILLE HWY, Knoxville, TN 37914
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Other Identifiers 2

OtherCB6822TN · Railroad Medicare
Medicare ID-Type Unspecified3721704TN

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Knoxville Medical And Industrial Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Knoxville Medical And Industrial Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

John Blake, M.D.
Family Practice
NPI 1447220363
4306 ASHEVILLE HWY
Knoxville, TN 37914
(865) 522-2168
✔ PECOS✔ Accepts MedicareSame address
Phillip Watson, M.D.
Family Practice
NPI 1598735433
4306 ASHEVILLE HWY
Knoxville, TN 37914
(865) 522-2168
✔ 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 Knoxville Medical And Industrial Clinic's NPI number?

The NPI number for Knoxville Medical And Industrial Clinic is 1790729515. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Knoxville Medical And Industrial Clinic located?

Knoxville Medical And Industrial Clinic is located at 4306 Asheville Hwy, Knoxville, TN 37914. The listed phone number is (865) 522-2168.

What is Knoxville Medical And Industrial Clinic's specialty?

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

Is Knoxville Medical And Industrial Clinic enrolled in Medicare?

Yes. Knoxville Medical And Industrial Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Knoxville Medical And Industrial Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Knoxville Medical And Industrial Clinic. 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, 2 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 Knoxville Medical And Industrial Clinic was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.