Individual provider Active NPI

Kevin O'Reilly

  • Psychiatric/Mental Health Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1396229811
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
24725 Issued in TN
Practice address
405 Ellis Ave
Maryville, TN 37804-5823
Phone
(865) 980-5377
Fax
(865) 980-5376
NPI assigned
Sep 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24725 TN Primary

Addresses

Primary practice location

405 Ellis Ave
Maryville, TN 37804-5823

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 981-2300

Other identifiers 1

IdentifierTypeStateIssuer
Q044395MedicaidTN

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
I20181203001974 TN Practitioner - Nurse Practitioner 4981948916 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nashville TMS PLLCGroup PAC ID 8224358353, 7 clinicians
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians

Practice addresses (Care Compare)

214 S Peters Rd
Suite 102
Knoxville, TN 37923-5229
Phone (865) 539-1031

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 980-5082

Hospital & facility affiliations

  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville TMS PLLC CurrentSince Dec 27, 2025 Accepting new patients
Blount Memorial Physician Group, Inc CurrentSince Dec 10, 2020 Accepting new patients
Dowell Springs Behavioral Health, LLC CurrentSince Jun 18, 2023 Accepting new patients
Nashville TMS PLLC CurrentSince Dec 27, 2025 Accepting new patients
Mental Health Centers & Clinics of Tennessee PastSince Oct 8, 2018 Accepting new patients

Locations

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

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

214 S Peters Rd
Ste 102
Knoxville, TN 37923
Phone (865) 539-1001

1444 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 500-6665

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

405 Ellis Ave
Maryville, TN 37804
Phone (865) 980-5377

103 W Broadway Ave
Maryville, TN 37801

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

Interoperability endpoints

  • Direct secure messaging: koreilly864527@direct.ghs.myhfn.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kevin.oreilly.p3@direct.bmpg.nextgenshare.com

Organizations & group practices 6

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 1

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1396229811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ELLIS AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045823",
            "telephone_number": "865-980-5377",
            "fax_number": "865-980-5376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 E Lamar Alexander Pkwy",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378045015",
            "country_code": "US",
            "telephone_number": "865-981-2300",
            "fax_number": "865-981-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-20",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "24725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q044395",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.