Individual provider Active NPI

Richard M Gaddis, DO

  • Internal Medicine Physician
  • Alcoa, TN
National Provider Identifier
1053498204
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1346 Issued in TN
Practice address
418 Marilyn LN
Alcoa, TN 37701-2118
Phone
(865) 984-6203
Fax
(844) 689-0752
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1346 TN Primary

Addresses

Primary practice location

418 Marilyn LN
Alcoa, TN 37701-2118

Mailing address

1275 Dick Lonas Rd
Knoxville, TN 37909-1382
Phone (865) 584-4747

Other practice location 1

266 Joule St
Alcoa, TN 37701-2422
Phone (865) 984-3864

Other identifiers 1

IdentifierTypeStateIssuer
3854568MedicaidTN

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
I20100928001086 TN Practitioner - Internal Medicine 6103941976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

266 Joule St
Alcoa, TN 37701-2422
Phone (865) 984-3864

405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430

418 Marilyn LN
Alcoa, TN 37701-2118
Phone (865) 984-6203

425 BMH Physicians
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5260

463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blount Memorial Physician Group, Inc Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Aug 20, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Aug 20, 2025 Accepting new patients
Summit Medical Group, PLLC Internal Medicine Past Accepting new patients
East Tennessee Medical Group, PC Internal Medicine Past Accepting new patients

Locations

266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864

418 Marilyn Ln
Alcoa, TN 37701
Phone (865) 984-6203

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

103 W Broadway Ave
Maryville, TN 37801

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

710 Morganton Square Dr
Maryville, TN 37801
Phone (865) 380-4021

1503 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 980-5290

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

Interoperability endpoints

  • Direct secure messaging: richard.gaddis.1@20785.direct.athenahealth.com
  • Direct secure messaging: rgaddis886865@direct.ghs.myhfn.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: richard.gaddis.p1@direct.bmpg.nextgenshare.com

Organizations & group practices 5

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 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1053498204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091382",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 MARILYN LN",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012118",
            "telephone_number": "865-984-6203",
            "fax_number": "844-689-0752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 Joule St",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377012422",
            "country_code": "US",
            "telephone_number": "865-984-3864",
            "fax_number": "865-380-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "1346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3854568",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcoa, TN

Sources for this page

Verify at the official NPI Registry.