DR. KENNETH LEE JUSTICE (MD) – Family Medicine Physician, NPI 1891747853

DR. KENNETH LEE JUSTICE (MD) is a healthcare provider. based in Nashville, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD0000030763 (TN). The NPI Number for DR. KENNETH LEE JUSTICE (MD) is 1891747853

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH LEE JUSTICE (MD)
NPI
1891747853
Phone
(865) 670-6199
Address
PO BOX 440061
Enumeration Date
17 May 2006
Last Update Date
30 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8659084044
Graduation Year
1993 (33 years ago)
PAC ID
7416938030
Group Practice PAC ID
5294646378
Professional Enrollment ID
I20040614001283
Address ID
TN378624152SE435XXPKWY200
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

Provider Addresses for DR. KENNETH LEE JUSTICE (MD)

  • PO BOX 440061

    NASHVILLE, TN 372440061

    Phone: (865) 670-6199

    Fax: (865) 670-6198

    Type: Mailing

  • 1130 MIDDLE CREEK RD STE 260

    SEVIERVILLE, TN 378623055

    Phone: (865) 428-7586

    Fax: (865) 428-8671

    Type: Location

  • 435, Parkway, Sevierville, Sevier County, East Tennessee, Tennessee, 37862, United States

    SEVIERVILLE, TN 378624152

    Phone: (865) 908-0400

    Fax: (865) 453-7009

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 112 Open Payments records for all available years, with a total value of $1,949.

Total Amount is formed as General ($1,949) + Research ($0) + Ownership ($0) = $1,949.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($260).

Total Amount

$1,949

General + Research + Ownership

Payments

112

Total payment records

General Amount

$1,949

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040614001283IFamily PracticeTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes451139$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit105105$0
99215Established patient office or other outpatient visit, 40-54 minutes6140$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and2915$0
96372Injection of drug or substance under skin or into muscle1911$0
View full utilization report →

Insurance plans in this area (ZIP 37244)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294646378View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerSC
-TN
Certified Nurse Midwife (Cnm)TN
-TN
Cardiac Surgery, Thoracic SurgeryTN
Surgical OncologyPA
H O S P I T A L I S TTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KENNETH LEE JUSTICE (MD)'s NPI?
Yes. DR. KENNETH LEE JUSTICE (MD) is listed with NPI 1891747853 in the public NPI dataset.
Is DR. KENNETH LEE JUSTICE (MD) listed as active for patients and plans?
The listing shows DR. KENNETH LEE JUSTICE (MD) as active in the NPI system.
What taxonomy line describes DR. KENNETH LEE JUSTICE (MD)?
For research purposes, treat DR. KENNETH LEE JUSTICE (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KENNETH LEE JUSTICE (MD) on a map?
Expect Nashville, Tennessee as a primary anchor for DR. KENNETH LEE JUSTICE (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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