ECHELON SPORTS MEDICINE, PLLC (NPI# 1932528338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932528338 |
| Entity Type | Organization |
| Organization Name | ECHELON SPORTS MEDICINE, PLLC |
| Other Organization Name | PROVISION SPORTS MEDICINE |
| Practice Address |
1400 Dowell Springs Blvd Suite 140 Knoxville TN 37909-2456 |
| Mailing Address |
510 Oakhurst Dr Knoxville TN 37919-6643 |
| Practice Telephone | 8652321408 |
| Mailing Telephone | 8653095551 |
| Mailing Fax Number | 8653811967 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |
| Authorized Official Name | DR. KEVIN SPROUSE (OWNER) |
| Authorized Official Telephone | 8653095551 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
2248 | TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Provision Sports Medicine | Doing Business As Name - Organization |
| Street Address |
1400 DOWELL SPRINGS BLVD SUITE 140 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37909-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513255 | Susan Weisberg | Specialist | 1400 Dowell Springs Blvd, Suite 200, Knoxville, TN 37909-2456 | 2005-07-28 |
| 1376089698 | Genneuro, Pllc | Family Medicine | 1400 Dowell Springs Blvd, Suite 100, Knoxville, TN 37909-2456 | 2017-01-10 |
| 1346605607 | Healthstar Physicians, PC | Family Medicine | 1400 Dowell Springs Blvd, Building 1400, Suite 340, Knoxville, TN 37909-2456 | 2015-12-30 |
| 1922311547 | Christopher L Bowlin | Podiatrist | 1400 Dowell Springs Blvd, Building 1400, Suite 340, Knoxville, TN 37909-2456 | 2010-07-24 |
| 1578874491 | James Wesley Franks | Physical Therapist | 1400 Dowell Springs Blvd, Suite 120, Knoxville, TN 37909-2456 | 2010-06-24 |
| 1245551860 | Provision Physical Therapy | Clinic/Center | 1400 Dowell Springs Blvd, Suite 100, Knoxville, TN 37909-2456 | 2010-06-17 |
| 1588997563 | Complementary Boutique | Durable Medical Equipment & Medical Supplies | 1400 Dowell Springs Blvd, Suite 200, Knoxville, TN 37909-2400 | 2009-09-09 |
| 1891926440 | Ryan Alexander Unger | Family Medicine | 1400 Dowell Springs Blvd, Building 1400, Suite 340, Knoxville, TN 37909-2456 | 2009-07-30 |
| 1750576922 | Imelda G Margulies | Nurse Practitioner | 1400 Dowell Springs Blvd, Suite 200, Knoxville, TN 37909-2456 | 2007-09-11 |
| 1518027846 | Margaret Rosalee Troxell | Family Medicine | 1400 Dowell Springs Blvd, Ste. 210, Knoxville, TN 37909-2456 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687534 | Rosalie Ting Mcglashen | Behavioral Analyst | 1508 Coleman Rd., Suites 105 and 110, Knoxville, TN 37909 | 2020-01-06 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1750757514 | Victor Brown | Counselor | 1451 Dowell Springs Blvd., Knoxville, TN 37909 | 2015-08-17 |
| 1083012488 | Melissa Wells Woodby | Marriage & Family Therapist | 6305 Lonas Dr, Knoxville, TN 37909 | 2014-12-17 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
| 1952737942 | Martirea Fostine Jenkins Pratt | Nurse Practitioner | 930 Adell Ree Park Lane, Knoxville, TN 37909 | 2013-09-23 |
| 1104259324 | Dana Michelle Sweitzer | Nurse Practitioner | 1320 Old Weisgarber Road, Knoxville, TN 37909 | 2013-08-12 |
| Find all providers in zip 37909 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316304629 | Deep River Wellness Center | Clinic/Center | 314 Knox Rd, Knoxville, TN 37918-2316 | 2016-01-19 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1598385361 | Better Life Medical PC | Clinic/Center | 1328 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2020-04-22 |
| 1386282036 | Concord Recovery Center, LLC | Clinic/Center | 601 S Concord St Ste 108, Knoxville, TN 37919-3339 | 2019-12-12 |
| 1598148736 | Knoxville Endocrinology Clinic, LLC | Clinic/Center | 108 Lovell Rd, Knoxville, TN 37934-1903 | 2015-07-07 |
| 1407240971 | Knoxville Omnicare, Pllc | Clinic/Center | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2015-03-23 |
| 1770722688 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 | 2009-02-17 |
| 1013166024 | Seasons of Farragut Pllc | Clinic/Center | 10607 Deerbrook Dr, Knoxville, TN 37922-1942 | 2008-09-15 |
| 1295908457 | Tennessee Valley Orthopedics & Sports Medicine Assoc PC | Clinic/Center | 11808 Kingston Pike, Suite 190, Knoxville, TN 37934-3803 | 2008-04-09 |
| 1891984712 | Great Expectations Ob/gyn/aesthetics, Pllc | Clinic/Center | 2001 Highland Ave, Knoxville, TN 37916-1217 | 2007-10-16 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on ECHELON SPORTS MEDICINE, PLLC.
| 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.