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	:	1669563409
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	:	865-769-4500
Fax Number	:	865-769-4501

Provider Business Practice Location Address
First Line	:	827 E LAMAR ALEXANDER PKWY
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37804-5001
Country	:	US
Telephone Number	:	865-984-0900
Fax Number	:	865-984-1035

Authorized Official
Title or Position	:	CEO
Name	:	PIERCE PEARSON
Credential	:
Telephone Number	:	865-769-4545

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	01/09/2026

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