Individual provider Active NPI

Gregory S Everett, OD

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1053675637
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD3058 Issued in TN
Practice address
1124 E Weisgarber Rd
Knoxville, TN 37909-2686
Phone
(865) 584-0905
Fax
(865) 584-3892
NPI assigned
Jun 28, 2012
Last updated
Jun 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD3058 TN Primary

Addresses

Primary practice location

1124 E Weisgarber Rd
Knoxville, TN 37909-2686

Mailing address

1124 E Weisgarber Rd
Knoxville, TN 37909-2686
Phone (865) 584-0905

Other identifiers 1

IdentifierTypeStateIssuer
OD003058OtherTNMEDICAL LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120723000811 TN Practitioner - Optometry 7810153699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Cunningham Taylor PCGroup PAC ID 0244216562, 15 clinicians

Practice addresses (Care Compare)

12744 Kingston Pike
Suite 108
Knoxville, TN 37934-0941
Phone (865) 934-1700

Merit-based Incentive Payment System (MIPS)

Final score
89.31 of 100Reported as group
Quality
97.97
Promoting interoperability
85
Improvement activities
40
Cost
78.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3058TNMDChiropractor
OD3058TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hermitage Eye Care PLLC Optometrist PastSince Feb 23, 2025 Accepting new patients
Phillip R Hammond Optometrist Past Accepting new patients
Campbell Cunningham & Taylor, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: geverett@ccth.intellechartdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1053675637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E WEISGARBER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092686",
            "telephone_number": "865-584-0905",
            "fax_number": "865-584-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E WEISGARBER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092686",
            "telephone_number": "865-584-0905",
            "fax_number": "865-584-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD3058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OD003058",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.