Donna Brantley

Individual provider Active NPI Family Nurse Practitioner · Maryville, TN

NPI 1275926255 · NPPES record last updated Oct 24, 2025

Key facts

NPI
1275926255
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
19748 (TN)
Practice address
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone
(865) 980-5089
NPI assigned
Mar 14, 2015
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blount Memorial Physician Group Inc (252 clinicians)

Practice addresses (Care Compare)

339 BHM Physicians
Office BLDG.
Maryville, TN 37804-5820
Phone (865) 980-5082

349 BMH Physicians
Office BLDG
Maryville, TN 37804-5820
Phone (865) 980-5244

355 BMH Physician
Office BLDG
Maryville, TN 37804-5820
Phone (865) 980-5060

365 BMH Physicians
Office BLDG
Maryville, TN 37804-5820
Phone (865) 960-5364

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

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

  • Blount Memorial Hospital Hospital · Maryville, TN · CCN 440011
  • University Health System, Inc Hospital · Knoxville, TN · CCN 440015

Merit-based Incentive Payment System (MIPS)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150713000072 TN Practitioner - Nurse Practitioner 3476865924 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blount Memorial Physician Group, Inc Current
since Jan 1, 2017
Accepting new patients
Sr Medical Services, LLC Past Accepting new patients

Locations

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

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

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

349 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 238-6270

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

103 W Broadway Ave
Maryville, TN 37801

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: donna.brantley.p1@direct.bmpg.nextgenshare.com
  • Direct secure messaging: dbrantley864507@direct.ghs.myhfn.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19748 TN Yes

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

IdentifierTypeStateIssuer
Q015603MedicaidTN

Other providers in Maryville, TN

All providers in Maryville, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.