Individual provider Active NPI

Thomas Kerry Evans, AGACNP-BC

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1265892723
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20982 Issued in TN
Practice address
210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone
(615) 312-0600
Fax
(615) 320-3259
NPI assigned
Feb 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 20982 TN
Nurse Practitioner 363L00000X 20982 TN Primary

Addresses

Primary practice location

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620

Mailing address

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

Other identifiers 3

IdentifierTypeStateIssuer
Q020111MedicaidTN
6063560OtherTNBCBS
7100395260MedicaidKY

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
I20160413001701 TN Practitioner - Nurse Practitioner 6204134919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

2221 Murphy Ave
Nashville, TN 37203-1538
Phone (615) 324-2192

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

2502 Essex PL
Nashville, TN 37212-4120
Phone (615) 312-0600

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 769-2000

355 New Shackle Island Rd
Hendersonville, TN 37075-2479
Phone (615) 824-7249

4809 Belmont Park Ter
Nashville, TN 37215-4421
Phone (843) 876-5556

5626 Cottonport Dr
Brentwood, TN 37027-5311
Phone (615) 312-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Alliance PC Nurse Practitioner CurrentSince Oct 1, 2017 Accepting new patients
Radiology Alliance CT Past Accepting new patients

Locations

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

1160 Forest Retreat Rd
Hendersonville, TN 37075
Phone (615) 338-2000

201 N Anderson Ln
Ste 100LAN
Hendersonvlle, TN 37075

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

500 Hospital Dr
Madison, TN 37115
Phone (615) 865-0300

2221 Murphy Ave
Nashville, TN 37203
Phone (615) 324-2192

2201 Murphy Ave
Ste 203
Nashville, TN 37203
Phone (615) 270-8060

210 25th Ave N
Ste 602
Nashville, TN 37203
Phone (615) 312-0604

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2201 Murphy Ave
Nashville, TN 37203
Phone (615) 342-4660

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

330 23rd Ave N
Ste 200
Nashville, TN 37203

356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

105 Redbud Dr
Portland, TN 37148
Phone (615) 325-1215

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

Organizations & group practices 2

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 2

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1265892723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "THOMAS",
        "middle_name": "KERRY",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-26",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "20982",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "20982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020111",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6063560",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100395260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.