MEDICARE: ORTHOTENNESSEE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1376888537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOTENNESSEE, PC

Provider Business Mailing Address
First Line	:	8320 E WALKER SPRINGS LN STE 200
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-3120
Country	:	US
Telephone Number	:	865-934-3329
Fax Number	:	865-769-4501

Provider Business Practice Location Address
First Line	:	1551 LAKE LOUDON BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37916-4009
Country	:	US
Telephone Number	:	865-475-4484
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PIERCE D PEARSON
Credential	:
Telephone Number	:	865-769-4502

Provider Enumeration Date	:	11/29/2012
Last Update Date	:	01/09/2026

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