PRIME PROVIDER SYSTEMS, INC. (NPI# 1588784938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588784938 |
| Entity Type | Organization |
| Organization Name | PRIME PROVIDER SYSTEMS, INC. |
| Other Organization Name | PRIME PROVIDER SYSTEMS (PPS) |
| Practice Address |
1111 N Northshore Dr Suite South 450 Knoxville TN 37919-4005 |
| Practice Telephone | 8655844100 |
| Practice Fax Number | 8655844100 |
| Mailing Telephone | 8655844100 |
| Mailing Fax Number | 8655844100 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL C. HAWTHORNE (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8655844100 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Prime Provider Systems (PPS) | Doing Business As Name - Organization |
| Street Address |
1111 N NORTHSHORE DR SUITE SOUTH 450 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275576209 | Beverly Mckee | Social Worker | 1111 N Northshore Dr, Suite South 490, Knoxville, TN 37919-4005 | 2006-06-14 |
| 1134520174 | Sylvia Ann Whaley | Social Worker | 1111 N Northshore Dr, Knoxville, TN 37919-4005 | 2014-09-09 |
| 1033308077 | Norman L Rasch | Psychologist | 1111 N Northshore Dr, Suite S490, Knoxville, TN 37919-4005 | 2007-10-16 |
| 1629108444 | Bruce G. Seidner | Psychologist | 1111 N Northshore Dr, Ste S-490, Knoxville, TN 37919-4005 | 2007-03-07 |
| 1538218375 | Anne Whitney | Psychologist | 1111 N Northshore Dr, Suite S-490, Knoxville, TN 37919-4005 | 2007-01-10 |
| 1790855039 | Sarah Carolyn Patton | Counselor | 1111 N Northshore Dr, Ste South 490, Knoxville, TN 37919-4005 | 2006-11-08 |
| 1326051186 | Patricia R Dalton | Social Worker | 1111 N Northshore Dr, Suite S-490, Knoxville, TN 37919-4005 | 2006-08-14 |
| 1063427821 | Michael Calvin Hawthorne | Psychologist | 1111 N Northshore Dr, Suite South 490, Knoxville, TN 37919-4005 | 2006-07-30 |
| 1760496624 | Edgar Howard Jessee | Psychologist | 1111 N Northshore Dr, Suite S490, Knoxville, TN 37919-4005 | 2006-07-28 |
| 1609808997 | Amanda Susan Smartt | Social Worker | 1111 N Northshore Dr, Suite S-490, Knoxville, TN 37919-4005 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033752597 | Tms of East Tennessee Pllc | Clinic/Center | 10241 Kingston Pike Ste 2, Knoxville, TN 37922-3240 | 2019-10-28 |
| 1104469931 | Trailhead Treatment Center | Clinic/Center | 2607 Kingston Pike Ste 2, Knoxville, TN 37919-3336 | 2019-10-24 |
| 1871954867 | Drd Management, Inc | Clinic/Center | 1910 Ailor Ave, Knoxville, TN 37921-5803 | 2016-03-17 |
| 1972905156 | Bearden Psychological and Wellness Center | Clinic/Center | 813 South Northsore Drive, Suite 105, Knoxville, TN 37919 | 2014-09-19 |
| 1154303162 | Parkwest Medical Center | Clinic/Center | 6800 Baum Dr, Knoxville, TN 37919-7315 | 2005-11-16 |
| 1710542592 | Cognitive Connections, LLC | Clinic/Center | 9041 Executive Park Drive, Ste 114, Knoxville, TN 37923 | 2019-05-07 |
| 1174059851 | Knoxville Neurofeedback Group | Clinic/Center | 7417 Kingston Pike Ste 103, Knoxville, TN 37919-5616 | 2017-05-02 |
| 1942750773 | Jessica Livingston Msn Aprn | Clinic/Center | 3720 N Broadway St, Knoxville, TN 37917-3120 | 2016-10-05 |
| 1093151003 | Drd Management, Inc | Clinic/Center | 626 Bernard Ave, Knoxville, TN 37921-6253 | 2013-05-16 |
| 1659330686 | Helen Ross Mcnabb Center | Clinic/Center | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2006-03-20 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.