Provider Demographics
NPI:1750340873
Name:COOTS, JAMES D (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:COOTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAMIE
Other - Middle Name:D
Other - Last Name:COOTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:265 BROOKVIEW CENTRE WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4053
Mailing Address - Country:US
Mailing Address - Phone:865-985-7056
Mailing Address - Fax:
Practice Address - Street 1:1100 BROOKHAVEN RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:KY
Practice Address - Zip Code:42134-2746
Practice Address - Country:US
Practice Address - Phone:270-598-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01050877A207Q00000X
KY51268207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200237860AMedicaid
IN000000658154OtherANTHEM BC/BS
IN000000360243OtherBLUE CROSS
IN000000627033OtherBC/BS
IN200237860Medicaid
INP00841028OtherRAILROAD MEDICARE
IN265520EEMedicare PIN
INP00841028OtherRAILROAD MEDICARE
IN000000658154OtherANTHEM BC/BS
IN200237860Medicaid
IN200237860AMedicaid