UT INTERNAL MEDICINE PELLISSIPPI
NPI 1790738763
Internal Medicine in Knoxville, TN

Active since May 18, 2006CLIA 44D1051773 · Microscopy
9625 KROGER PARK DR, STE 450, KNOXVILLE, TN 37922(865) 690-2992(865) 690-2993 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ut Internal Medicine Pellissippi NPPES

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

UT INTERNAL MEDICINE PELLISSIPPI (NPI 1790738763) is a healthcare organization registered as an internal medicine in Knoxville, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through March 9, 2028 and lists Beth A Maynard, Vice President, as its authorized official.

NPPES Registry Identity

NPI1790738763
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameUNIVERSITY HEALTH SYSTEM, INC
Location Address9625 KROGER PARK DR, STE 450Knoxville, TN 37922-5880
Mailing AddressPo Box 415000-msc8174Nashville, TN 37241-8174 · (865) 670-6199 · Fax (865) 670-6198
Fax(865) 690-2993
Organization SubpartNo
Authorized OfficialBeth A MaynardVice President · (865) 670-6754
Enumeration DateMay 18, 2006
Last NPPES UpdateJune 5, 2020
NPPES CertifiedJune 5, 2020
NPI 1790738763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9625 KROGER PARK DR, Knoxville, TN 37922

Other Names 1

Doing Business AsUt Internal Medicine Pellissippi

Other Identifiers 1

Medicaid3285144TN

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

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) 44D1051773

Ut Internal Medicine Pellissippi · Knoxville, TN
Active · expires Mar 9, 2028
CLIA Number44D1051773
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorDouglas L. Davis MD
Laboratory Phone(865) 690-2992
Laboratory LocationUt Internal Medicine Pellissippi9625 Kroger Park Drive Suite #450, Knoxville, TN 37922
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 13

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

Internal Medicine
9625 KROGER PARK DR, SUITE 450
KNOXVILLE, TN 37922
Family Medicine
9625 KROGER PARK DR, SUITE 500
KNOXVILLE, TN 37922
Family Medicine
9625 KROGER PARK DR, STE 500
KNOXVILLE, TN 37922
Nurse Practitioner (Pediatrics)
9625 KROGER PARK DR, SUITE 200
KNOXVILLE, TN 37922
Nurse Practitioner (Family)
9625 KROGER PARK DR, STE 500
KNOXVILLE, TN 37922
Family Medicine
9625 KROGER PARK DR, SUITE 500
KNOXVILLE, TN 37922
Internal Medicine (Infectious Disease)
9625 KROGER PARK DR, SUITE 500
KNOXVILLE, TN 37922
Internal Medicine
9625 KROGER PARK DR, SUITE 450
KNOXVILLE, TN 37922

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 University Health System, Inc's NPI number?

The NPI number for University Health System, Inc is 1790738763. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Ut Internal Medicine Pellissippi.

Where is University Health System, Inc located?

University Health System, Inc is located at 9625 Kroger Park Dr Ste 450, Knoxville, TN 37922. The listed phone number is (865) 690-2992.

What is University Health System, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does University Health System, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1051773) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Health System, Inc was last updated on June 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.