Individual
DR. GREGORY MARK MATHIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1293
(865) 558-4400
(865) 558-4471
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD21414
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
21414
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098041241
TRICARE
TN
01
—
100010064
TENNCARE
TN
01
—
1196196
UNITED HEALTH CARE
TN
01
—
200030088
RAILROAD MEDICARE
TN
05
—
3059706
—
TN
01
—
3071385
BLUE CROSS BLUE SHIELD
TN
01
—
4397728
AETNA
TN
01
—
P00910368
RAILROAD MEDICARE
TN
01
—
TN0120
JOHN DEERE HEALTHCARE
TN
01
—
TN0152
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/07/2006
Last updated
01/15/2026
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