Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ensemble Medical PLLC

Organization Internal Medicine Physician · NPI 1821523101

Ensemble Medical PLLC is an Internal Medicine Physician in Knoxville, Tennessee. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

417 Holly St
Knoxville, TN 37917-7815
Phone: (865) 633-9068
Fax: (865) 246-2106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Psychiatry Physician Taxonomy 2084P0800X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1821523101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deaver Shattuck — President · (865) 633-9068
NPI enumeratedApril 25, 2017
Last updated in NPPESJune 20, 2017
Mailing addressPo Box 5777, Maryville, TN 37802-5777

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