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ENSEMBLE MEDICAL PLLC
NPI 1821523101
Internal Medicine in Knoxville, TN

Active since April 25, 2017
417 HOLLY ST, KNOXVILLE, TN 37917(865) 633-9068(865) 246-2106 Get Directions Write a Review

NPPES record last updated: June 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2017, Apr 25, 2017 (2 updates tracked since 2017).

About Ensemble Medical Pllc NPPES

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

ENSEMBLE MEDICAL PLLC (NPI 1821523101) is a healthcare organization registered as an internal medicine in Knoxville, Tennessee and active in the NPI registry since April 2017. The organization lists Deaver T Shattuck, President, as its authorized official.

NPPES Registry Identity

NPI1821523101
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameENSEMBLE MEDICAL PLLC
Location Address417 HOLLY STKnoxville, TN 37917-7815
Mailing AddressPo Box 5777Maryville, TN 37802-5777 · (865) 246-2104 · Fax (865) 246-2106
Phone(865) 633-9068
Fax(865) 246-2106
Organization SubpartNo
Authorized OfficialDeaver T ShattuckPresident · (865) 633-9068
Enumeration DateApril 25, 2017
Last NPPES UpdateJune 20, 20172 updates tracked since enumeration
✔ NPI 1821523101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
417 HOLLY ST, Knoxville, TN 37917
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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

Other Providers at the Same Location NPPES 4

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

GREATER KNOXVILLE CENTER
Clinic/Center (Pain)
417 HOLLY ST
KNOXVILLE, TN 37917
Knox County (865) 851-9550
LEANNA DENEE HANCOCK CPRS
Case Manager/Care Coordinator
417 HOLLY ST
KNOXVILLE, TN 37917
Knox County (865) 770-4003
ENSEMBLE RECOVERY ENTERPRISES, LLC
Social Worker (Clinical)
417 HOLLY ST
KNOXVILLE, TN 37917
Knox County (865) 770-4003
PAMELA SUE SPINDEL LADAC II NCAC I
Counselor (Addiction (Substance Use Disorder))
417 HOLLY ST
KNOXVILLE, TN 37917
Knox County (865) 770-3838

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 Ensemble Medical PLLC's NPI number?

The NPI number for Ensemble Medical PLLC is 1821523101. It was assigned to this organization in the NPPES registry on April 25, 2017.

Where is Ensemble Medical PLLC located?

Ensemble Medical PLLC is located at 417 Holly St, Knoxville, TN 37917. The listed phone number is (865) 633-9068.

What is Ensemble Medical PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ensemble Medical PLLC was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.