Individual provider Active NPI

Deaver T Shattuck, M.D.

  • Hospitalist Physician
  • Maryville, TN
National Provider Identifier
1013985407
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD0000027892 Issued in TN
Practice address
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone
(865) 980-4897
Fax
(865) 977-4722
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000027892 TN
Hospitalist Physician 208M00000X MD0000027892 TN Primary

Addresses

Primary practice location

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other identifiers 2

IdentifierTypeStateIssuer
3803577MedicaidTN
3803574MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000421 TN Practitioner - Internal MedicinePractitioner - Emergency Medicine 4587569157 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Partners of East Tennessee PLLCGroup PAC ID 4486801982, 36 clinicians
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians

Practice addresses (Care Compare)

1869 Crest Rd
Maryville, TN 37804-4304
Phone (865) 980-5200

4371 Lifespring LN
Knoxville, TN 37918-4640
Phone (865) 246-2104

835 Tipton Ave
Knoxville, TN 37920-3208
Phone (865) 246-2104

8804 S Northshore Dr
Knoxville, TN 37922-6409
Phone (865) 246-2104

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 980-5082

Hospital & facility affiliations

  • Caris Healthcare Hospice, Knoxville, TN, CCN 441585
  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
  • Jefferson City Health and Rehab Center Nursing home, Jefferson City, TN, CCN 445246

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
58.61
Promoting interoperability
92
Improvement activities
40
Cost
73.97

Merit-based Incentive Payment System (MIPS)

Final score
69.53 of 100Reported as group
Quality
48.61
Improvement activities
40
Cost
70.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000027892TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Partners of East Tennessee, PLLC Internal Medicine CurrentSince Aug 16, 2012 Accepting new patients
Housecall Primary Care, PLLC Internal Medicine CurrentSince May 1, 2015 Accepting new patients
Blount Memorial Physician Group, Inc Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
App of Tennessee Ed, PLLC CurrentSince Sep 1, 2014 Accepting new patients
Hospitalists of East Tennessee, PC Hospitalist PastSince Dec 15, 2010 Accepting new patients
Southeastern Physician Services PC Internal Medicine Past Accepting new patients

Locations

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

550 Deer View Way
Jefferson Cty, TN 37760
Phone (865) 330-7424

9325 S Northshore Dr
Knoxville, TN 37922
Phone (865) 474-9322

401 Catherine McAuley Way
Knoxville, TN 37919
Phone (865) 248-6564

1758 Hillwood Dr
Knoxville, TN 37920
Phone (865) 363-7124

3222 Byington Beaver Ridge Rd
Knoxville, TN 37931
Phone (865) 230-1500

923 E Central Ave
La Follette, TN 37766
Phone (423) 907-1200

3959 Highway 411
Madisonville, TN 37354
Phone (423) 442-2121

465 Isbill Rd
Madisonville, TN 37354
Phone (423) 442-3990

463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1812 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 977-0916

1869 Crest Rd
Maryville, TN 37804
Phone (865) 984-3030

458 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5355

103 W Broadway Ave
Maryville, TN 37801

7545 Thunder Ln
Powell, TN 37849
Phone 8552393467788

415 Catlett Rd
Sevierville, TN 37862
Phone (865) 453-4247

1020 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 774-2221

Interoperability endpoints

  • Direct secure messaging: deaver.shattuck@3725.securemail.prognocis.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dshattuck864373@direct.ghs.myhfn.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1013985407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045015",
            "telephone_number": "865-980-4897",
            "fax_number": "865-977-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATTUCK",
        "first_name": "DEAVER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000027892",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "MD0000027892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3803577",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3803574",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.