Individual provider Active NPI

Stanley Tyler Pace, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Knoxville, TN
National Provider Identifier
1366717605
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
74072 Issued in TN
Practice address
4528 Chapman Hwy
Knoxville, TN 37920-4359
Phone
(865) 579-3920
Fax
(865) 579-3963
NPI assigned
Mar 20, 2012
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 74072 TN Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 52180 SC

Addresses

Primary practice location

4528 Chapman Hwy
Knoxville, TN 37920-4359

Mailing address

4528 Chapman Hwy
Knoxville, TN 37920-4359
Phone (865) 579-3920

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tpace@baptisteye.direct.eyemdemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160801002580 NC Practitioner - Ophthalmology 4284927054
I20180712002538 SC Practitioner - Ophthalmology 4284927054 Reassigns benefits to 1 organization
I20250421003049 TN Practitioner - Ophthalmology 4284927054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wake Forest University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Eye Surgeons, PLLCGroup PAC ID 4284610486, 13 clinicians

Practice addresses (Care Compare)

4528 Chapman Hwy
Knoxville, TN 37920-4359
Phone (865) 579-3920

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Eye Associates of South Carolina, PA Ophthalmology CurrentSince Aug 1, 2018 Accepting new patients
Southern Eye Associates of SC, PA Ophthalmology CurrentSince Aug 1, 2018 Accepting new patients
Baptist Eye Surgeons, PLLC CurrentSince Jun 15, 2025 Accepting new patients
Southern Eye Associates of South Carolina, PA Ophthalmology Current Accepting new patients

Locations

161 Thomas Green Blvd
Clemson, SC 29631
Phone (864) 269-3333

113 Doctors Dr
Greenville, SC 29605
Phone (864) 269-3333

100 Physicians Dr
Greer, SC 29650
Phone (864) 269-3333

100 Allawood Ct
Ste 102
Simpsonville, SC 29681

1330 Boiling Springs Rd
Ste 2400
Spartanburg, SC 29303
Phone (864) 269-3333

140 Capital Dr
Ste 110
Knoxville, TN 37922
Phone (423) 581-0360

4528 Chapman Hwy
Knoxville, TN 37920
Phone (865) 579-3920

Interoperability endpoints

  • Direct secure messaging: tpace@baptisteye.direct.eyemdemr.com

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1366717605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 CHAPMAN HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204359",
            "telephone_number": "865-579-3920",
            "fax_number": "865-579-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 CHAPMAN HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204359",
            "telephone_number": "865-579-3920",
            "fax_number": "865-579-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "STANLEY",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "74072",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "52180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpace@baptisteye.direct.eyemdemr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4528 Chapman Hwy",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379204359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.