Active NPIOrganization

Medadvance PLLC

Family Medicine in Knoxville, Tennessee

NPI Number1104634377
Practice location
800 S Gay St Ste 700, Knoxville, TN 37929-9703
Fax
440-582-3171
Last updated
October 15, 2026

Medadvance PLLC is a healthcare organization based in Knoxville, TN. Medadvance PLLC practices in Knoxville, TN. The NPI Number for Medadvance PLLC is 1104634377. The current practice location address for Medadvance PLLC is 800 S Gay St Ste 700, Knoxville, TN 37929-9703 and can be reached out via phone at 440-652-8748 and via fax at 440-582-3171.

Provider Profile Details

NPI Number
1104634377
Provider Name
Medadvance PLLC
Provider Entity Type
Organization
Address
800 S Gay St Ste 700, Knoxville, TN 37929-9703
Phone Number
440-652-8748
Fax Number
440-582-3171
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Tracy Wimberg · Vp Billing Operations · 609-517-2526
Provider Enumeration Date
December 20, 2024
Last Update Date
October 15, 2026
Certification Date
October 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 S Gay St Ste 700
Knoxville, TN 37929-9703
Zip
37929-9703
Phone Number
440-652-8748
Fax Number
440-582-3171
Knoxville, TN 37929Get directions →

Provider Business Mailing Address Details

Address
731 Bay Ave
Somers Point, NJ 08244-2378
City
Somers Point
State
NJ
Zip
08244-2378
Fax Number
440-582-3171

License Information

Taxonomy (1)
Family Medicine · 207Q00000X · Primary
Taxonomy (2)
Physician Assistant · 363A00000X
Taxonomy (3)
Nurse Practitioner · 363L00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Medadvance PLLC?

The NPI number of Medadvance PLLC is 1104634377. It was assigned on December 20, 2024 and is currently active in the NPPES registry.

What is the specialty of Medadvance PLLC?

Medadvance PLLC is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Medadvance PLLC practice?

The practice location is 800 S Gay St Ste 700, Knoxville, TN 37929-9703. The office can be reached at 440-652-8748 (phone) or 440-582-3171 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104634377 directly on the NPPES registry website.

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