Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Passport Health Holdings, LLC

Organization Public Health & General Preventive Medicine Physician · NPI 1639595754

Passport Health Holdings, LLC provides Public Health & General Preventive Medicine Physician services in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2014.

Licensed in
TN
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 Huxley Rd Ste 1
Knoxville, TN 37922-3183
Phone: (877) 358-8648
Fax: (877) 877-8675
Show map & directions

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

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X (TN)

Record details

NPI number1639595754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doug Shackell — Director Of Finance · (480) 646-9024
Other names Passport Health
NPI enumeratedMarch 13, 2014
Last updated in NPPESAugust 29, 2018
Mailing address8324 E Hartford Dr, 200, Scottsdale, AZ 85255

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