Healthcare Provider Details

I. General information

NPI: 1225800410
Provider Name (Legal Business Name): ADVANCED SURGICAL WOUND CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6216 HIGHLAND PLACE WAY STE 102
KNOXVILLE TN
37919-4068
US

IV. Provider business mailing address

3511 RIVEREDGE CIR
KNOXVILLE TN
37920-2890
US

V. Phone/Fax

Practice location:
  • Phone: 865-470-6121
  • Fax: 423-500-3029
Mailing address:
  • Phone: 865-470-6121
  • Fax: 423-500-3029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LOWELL L MCCAULEY JR.
Title or Position: OWNER
Credential: M.D.
Phone: 865-549-5151