SOUTHERN MEDICAL GROUP PLLC
NPI 1740332220
Internal Medicine in Knoxville, TN

NPI Status: Active since January 17, 2007

Contact Information

6600 NIGHTINGALE LN
KNOXVILLE, TN
ZIP 37909
Phone: (865) 632-5885
Fax: (865) 632-5893

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  • Organization
  • Internal Medicine
  • CLIA Number: 44D0710170
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-17-2026

About SOUTHERN MEDICAL GROUP PLLC

This page provides the complete NPI Profile along with additional information for Southern Medical Group Pllc, an internist established in Knoxville, Tennessee operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1740332220 assigned on January 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kathy A Kanipe (Credentialing)

NPI
1740332220
Provider Name
SOUTHERN MEDICAL GROUP PLLC
Entity Type
Organization
Location Address
6600 NIGHTINGALE LN KNOXVILLE, TN 37909
Location Phone
(865) 632-5885
Location Fax
(865) 632-5893
Mailing Address
6600 NIGHTINGALE LN KNOXVILLE, TN 37909
Mailing Phone
(865) 632-5885
Mailing Fax
(865) 632-5893
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2007
Last Update Date
11-15-2011
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An internist like Southern Medical Group Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHY A KANIPE

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(865) 632-5885

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
611721701OTHER (01)TNFEDERAL BALCK LUNG
3733309MEDICARE ID-TYPE UNSPECIFIED (04)TN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0710170
Facility Type
Physician Office
Certificate Effective Date
October 18, 2024
Certificate Expiration Date
October 17, 2026
Laboratory Director
DR. ALAN K. GALLOWAY
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Southern Medical Group Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for SOUTHERN MEDICAL GROUP PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1740332220
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
278063424
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 6 + 3 + 4 + 2 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1740332220 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205310034 JULIE VOSS PA
Individual
Physician Assistant6600 NIGHTINGALE LN
KNOXVILLE, TN 37909
(865) 632-5885
1205863412 WILLIAM TUCKER PA-C
Individual
Physician Assistant6600 NIGHTINGALE LN
KNOXVILLE, TN 37909
(865) 632-5885
1295780369DR. JAMES STEPHEN ALLEY MD
Individual
Internal Medicine6600 NIGHTINGALE LN
KNOXVILLE, TN 37909
(865) 632-5885
1386633949DR. MICHAEL P BERNARD MD
Individual
Internal Medicine6600 NIGHTINGALE LN
KNOXVILLE, TN 37909
(865) 632-5885
1659360295 DOUGLAS J MARLOW MD
Individual
Internal Medicine6600 NIGHTINGALE LN
KNOXVILLE, TN 37909
(865) 632-5885
1881649028DR. ROBERT G THOMPSON II MD
Individual
Internal Medicine6600 NIGHTINGALE LN
KNOXVILLE, TN 37909
(865) 632-5885
1912952177DR. SUNIL JOHN MD
Individual
Internal Medicine6600 NIGHTINGALE LN
KNOXVILLE, TN 37909
(865) 632-5885
1255376513 DAVID JERDEN MD
Individual
Internal Medicine6600 NIGHTINGALE LN
KNOXVILLE, TN 37909
(865) 632-5885
1003843095 JEFFREY W ROBINSON MD
Individual
Internal Medicine6600 NIGHTINGALE LN
KNOXVILLE, TN 37909
(865) 632-5885
1114972650DR. JEFFREY SWILLEY MD
Individual
Internal Medicine6600 NIGHTINGALE LN
KNOXVILLE, TN 37909
(865) 632-5885
1669427142DR. SAEED ETEZADI-AMOLI MD
Individual
Internal Medicine6600 NIGHTINGALE LN
KNOXVILLE, TN 37909
(865) 632-5885

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740332220, enumerated in the NPI registry as an "organization" on January 17, 2007

The provider is located at 6600 Nightingale Ln Knoxville, Tn 37909 and the phone number is (865) 632-5885

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 44D0710170 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on January 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.