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

Jameson Kyle Mattingly, MD

Individual provider Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1255697975

Jameson Kyle Mattingly, MD is an Otolaryngology in Knoxville, Tennessee. Graduated from University of Louisville School of Medicine in 2012, 14 years ago. Practices with Tennessee Ear, Nose and Throat Consultants, PC, a 25-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Trained at
University of Louisville School of Medicine
Licensed in
TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9430 Park West Blvd Ste 330
Knoxville, TN 37923-4203
Phone: (865) 693-6065
Fax: (865) 531-6325
Show map & directions

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

Specialties & licences

Otology & Neurotology Physician (primary) Taxonomy 207YX0901X · Licence 62735 (TN)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence 62735 (TN)

Record details

NPI number1255697975
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2012
Last updated in NPPESDecember 9, 2023
Certification dateDecember 9, 2023

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Tennessee Ear, Nose And Throat Consultants, Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount