Individual provider Active NPI

Gibson Deane Calfee, PA-C

  • Medical Physician Assistant
  • Maynardville, TN
National Provider Identifier
1467230987
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5754 Issued in TN
Practice address
149 Durham Dr
Maynardville, TN 37807-2925
Phone
(865) 992-2221
Fax
(833) 908-2158
NPI assigned
Sep 18, 2023
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TN
Medical Physician Assistant 363AM0700X 5754 TN Primary

Addresses

Primary practice location

149 Durham Dr
Maynardville, TN 37807-2925

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

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
I20231117002880 TN Practitioner - Physician Assistant 5092163709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

149 Durham Dr
Maynardville, TN 37807-2925
Phone (865) 992-2221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5754TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC Physician Assistant CurrentSince Dec 8, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Dec 8, 2025 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

149 Durham Dr
Maynardville, TN 37807
Phone (865) 992-2221

Interoperability endpoints

  • Direct secure messaging: gcalfee36146@direct.davitaphysiciansolutions.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 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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1467230987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "833-908-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DURHAM DR",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378072925",
            "telephone_number": "865-992-2221",
            "fax_number": "833-908-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALFEE",
        "first_name": "GIBSON",
        "middle_name": "DEANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "5754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maynardville, TN

Sources for this page

Verify at the official NPI Registry.