Individual provider Active NPI

Evan Tayler Amonett, D.O.

  • Family Medicine Physician
  • Cleveland, TN
National Provider Identifier
1376292136
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6126 Issued in TN
Practice address
2414 Chambliss Ave NW
Cleveland, TN 37311-3879
Phone
(423) 380-6383
NPI assigned
Mar 21, 2022
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6126 TN Primary

Addresses

Primary practice location

2414 Chambliss Ave NW
Cleveland, TN 37311-3879

Mailing address

2414 Chambliss Ave NW
Cleveland, TN 37311-3879
Phone (423) 242-2316

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
I20250815003739 TN Practitioner - Family Practice 2466951595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

2700 Westside Dr NW
Suite 204
Cleveland, TN 37312-3682
Phone (423) 476-3711

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Physician Services, LLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Hamilton Physician Group Inc PastSince Oct 1, 2024 Accepting new patients
Hamilton Medical Center, Inc. PastSince Oct 1, 2024 Accepting new patients

Locations

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

Interoperability endpoints

  • Direct secure messaging: evan.amonett.1@31613.direct.athenahealth.com

Organizations & group practices 3

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 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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1376292136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113879",
            "telephone_number": "423-242-2316",
            "fax_number": "423-485-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113879",
            "telephone_number": "423-380-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMONETT",
        "first_name": "EVAN",
        "middle_name": "TAYLER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "6126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.