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

Dr. Tidence Lane Prince, MD

Individual provider Allergy & Immunology Physician · NPI 1215922356

Dr. Tidence Lane Prince, MD is an Allergy/Immunology in Maryville, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 1989, 37 years ago. Practices with Allergy, Asthma, Immunology Center - Ty Prince, PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
37
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

616 W Lamar Alexander Pkwy
Maryville, TN 37801-4763
Phone: (865) 273-0008
Show map & directions

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

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 21247 (TN)

Record details

NPI number1215922356
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2005
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Allergy, Asthma, Immunology Center - Ty Prince, Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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