BLOUNT MEMORIAL PHYSICIAN GROUP INC. NPI 1699710194

NPI Information

  • NPI: 1699710194
  • Provider Name: BLOUNT MEMORIAL PHYSICIAN GROUP, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 44D1004120
  • Address: 266 JOULE ST
    ALCOA, TN
    ZIP 37701
  • Phone: (865) 984-3864

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NPI Details

BLOUNT MEMORIAL PHYSICIAN GROUP, INC. is a family medicine in Alcoa, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLOUNT MEMORIAL PHYSICIAN GROUP, INC. NPI is 1699710194. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

266 JOULE ST
ALCOA, TN
ZIP 37701-422
Phone: (865) 984-3864
Fax: (865) 380-4095

The provider's authorized official is Kristi Ann Lawrence .
The authorized official title is Dir. Of Provider Enrollment & Cvo and has the following contact phone number (864) 522-8611.

The CLIA number assigned to this NPI record is 44D1004120 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 6/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyNo
2207RI0011XInternal MedicineInterventional CardiologyTENNESSEENo
3207R00000XInternal MedicineTENNESSEENo
4207RC0000XInternal MedicineCardiovascular DiseaseTENNESSEENo
5207RC0200XInternal MedicineCritical Care MedicineTENNESSEENo
6207RG0100XInternal MedicineGastroenterologyNo
7207RP1001XInternal MedicinePulmonary DiseaseNo
8207RR0500XInternal MedicineRheumatologyNo
9207RS0012XInternal MedicineSleep MedicineNo
102086S0129XSurgeryVascular SurgeryNo
11208800000XUrologyNo
12208200000XPlastic SurgeryNo
132084N0400XPsychiatry & NeurologyNeurologyNo
14208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
15207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13373710MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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