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

Passport Health Holdings, LLC

Organization Public Health & General Preventive Medicine Physician · NPI 1639595754

Passport Health Holdings, LLC is a Public Health & General Preventive Medicine Physician in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2014.

Licensed in
TN
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 Huxley Rd Ste 1
Knoxville, TN 37922-3183
Phone: (877) 358-8648
Fax: (877) 877-8675
Show map & directions

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

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X (TN)

Record details

NPI number1639595754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doug Shackell — Director Of Finance · (480) 646-9024
Other names Passport Health
NPI enumeratedMarch 13, 2014
Last updated in NPPESAugust 29, 2018
Mailing address8324 E Hartford Dr, 200, Scottsdale, AZ 85255

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