Individual provider Active NPI

Kevin Stevens, MD

  • Emergency Medicine Physician
  • Jasper, TN
National Provider Identifier
1336569359
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD0000055159 Issued in TN
Practice address
1000 TN-28
Jasper, TN 37347
Phone
(423) 837-3400
NPI assigned
Apr 17, 2014
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD0000055159 TN Primary

Addresses

Primary practice location

1000 TN-28
Jasper, TN 37347

Mailing address

120 Toulouse St
Memphis, TN 38103-4835

Other practice location 1

960 E 3rd St
Suite 104
Chattanooga, TN 37403-2104
Phone (423) 778-7628

Other practice location 2

632 Morrison Springs Rd
Chattanooga, TN 37415
Phone (423) 778-3658

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
I20161209001187 TN Practitioner - Emergency Medicine 8325328255 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Cities Regional Emergency Physicians, PCGroup PAC ID 3678859477, 118 clinicians

Practice addresses (Care Compare)

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
83.8
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000055159TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jun 27, 2017 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Dec 31, 2021 Accepting new patients
Tri-Cities Observation Services, PC Emergency Medicine CurrentSince Feb 20, 2022 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine Current Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Jun 20, 2017 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince Apr 7, 2019 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Jun 20, 2017 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Apr 7, 2019 Accepting new patients
Tennessee Em-I Medical Services, PC Emergency Medicine Past Accepting new patients

Locations

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

16931 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-5100

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

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

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

632 Morrison Springs Rd
Red Bank, TN 37415
Phone (423) 265-0063

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1336569359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TOULOUSE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381034835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TN-28",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "37347",
            "telephone_number": "423-837-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 E 3rd St",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032104",
            "country_code": "US",
            "telephone_number": "423-778-7628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "632 Morrison Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37415",
            "country_code": "US",
            "telephone_number": "423-778-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000055159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TN

Sources for this page

Verify at the official NPI Registry.