Individual provider Active NPI

Shannon Everett, NP-C

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1124484415
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000020729 Issued in TN
Practice address
1716 Old Mount Tabor Rd
Maryville, TN 37801-7866
Phone
(865) 250-8001
NPI assigned
Jan 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000020729 TN Primary

Addresses

Primary practice location

1716 Old Mount Tabor Rd
Maryville, TN 37801-7866

Mailing address

1716 Old Mount Tabor Rd
Maryville, TN 37801-7866

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322001819 TN Practitioner - Nurse Practitioner 5395042105 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1032 E Brandon Blvd
Suite 4567
Brandon, FL 33511-5509

3009 Holly St
Titusville, FL 32796-2447

701 Morganton Square Dr
Maryville, TN 37801-4796

765 Woodland Trace LN
Cordova, TN 38018-6609

PO Box
Atlanta, GA 30374

PO Box
Suite 5777
Maryville, TN 37802

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Tennessee, PLLC CurrentSince Mar 24, 2025 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Mar 17, 2025 Accepting new patients
Housecall Primary Care, PLLC CurrentSince Dec 1, 2019 Accepting new patients
Total Extended Care Services PC CurrentSince Dec 1, 2024 Accepting new patients
Segue Health Partners LLC CurrentSince Aug 23, 2024 Accepting new patients
Osh-Mi Physicians Group PC Family Past Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

616 W Forest Ave
Jackson, TN 38301
Phone (731) 422-0330

4221 Asheville Hwy
Knoxville, TN 37914
Phone (865) 392-7264

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

2648 Sevierville Rd
Maryville, TN 37804
Phone (865) 984-1660

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

252 Cherokee Professional Park
Maryville, TN 37804

3360 N Watkins St
Memphis, TN 38127
Phone (901) 353-4603

Interoperability endpoints

  • Direct secure messaging: shannon.everett@620407976427524.direct.elationemr.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1124484415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 OLD MOUNT TABOR RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378017866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 OLD MOUNT TABOR RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378017866",
            "telephone_number": "865-250-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-03",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.