MEDICARE: TENNESSEE CANCER SPECIALISTS PLLC

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	207RH0003X	Hematology & Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4081457	OTHER	TN	BCBST GROUP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841228871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE CANCER SPECIALISTS PLLC

Provider Business Mailing Address
First Line	:	6016 BROOKVALE LN STE 200
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-4092
Country	:	US
Telephone Number	:	865-862-0998
Fax Number	:	865-544-1861

Provider Business Practice Location Address
First Line	:	900 E HILL AVE
Second Line	:	SUITE 230
City	:	KNOXVILLE
State	:	TN
Zip	:	37915-2566
Country	:	US
Telephone Number	:	865-862-0998
Fax Number	:	865-544-1861

Authorized Official
Title or Position	:	CHIEF MANAGER
Name	:	DR. TRACY W DOBBS
Credential	:	M.D.
Telephone Number	:	865-934-5800

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	04/21/2025

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