Healthcare Provider Details

I. General information

NPI: 1043231319
Provider Name (Legal Business Name): SHARON R BURNSIDE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6906 KINGSTON PIKE SUITE 200
KNOXVILLE TN
37919-5704
US

IV. Provider business mailing address

PO BOX 10687
KNOXVILLE TN
37939-0687
US

V. Phone/Fax

Practice location:
  • Phone: 865-588-4044
  • Fax:
Mailing address:
  • Phone: 865-588-4044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD028113
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: