Individual provider Active NPI

Deana R Brotherton, M.D.

  • Family Medicine Physician
  • Morristown, TN
National Provider Identifier
1508836842
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD30887 Issued in TN
Practice address
653 Merchants Greene Blvd.
Suite 201
Morristown, TN 37813
Phone
(423) 492-6700
Fax
(865) 374-2131
NPI assigned
Jan 26, 2006
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 MD30887 TN Primary

Addresses

Primary practice location

653 Merchants Greene Blvd.
Suite 201
Morristown, TN 37813

Mailing address

653 Merchants Greene Blvd.
Suite 201
Morristown, TN 37813
Phone (423) 492-6700

Other practice location 1

103 Wilton Springs Road
Newport, TN 37821-6405
Phone (423) 487-2222

Other identifiers 6

IdentifierTypeStateIssuer
3142811OtherTNBCBST
3144181OtherTNBCBST
3144180OtherTNBCBST
3144182OtherTNBLUECARE-BOGARD
3846342MedicaidTN
100028814OtherTNPHP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brotherton.deana.rymer@covenanthealth.cernerdirect.com

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
I20041002000100 TN Practitioner - Family Practice 4789653049 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

1521 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-3124
Phone (423) 458-1426

1633 W Morris Blvd
Morristown, TN 37813-3875
Phone (423) 492-6700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30887TNMDFamily Medicine Physician
30887TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Medical Services, Inc. Current Accepting new patients
Covenant Medical Group, Inc. Family Medicine CurrentSince May 15, 2023 Accepting new patients
Apogee Medical Group Tennessee PC CurrentSince Aug 16, 2013 Accepting new patients
Rural Medical Services, Inc. Current Accepting new patients
Covenant Medical Group, Inc CurrentSince May 15, 2023 Accepting new patients
Rural Medical Services, Inc. Current Accepting new patients
Rural Medical Services, Inc. Current Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Medical Education Assistance Corporation Family Medicine Past Accepting new patients
Emergency Coverage, LLC Family Medicine Past Accepting new patients

Locations

3222 Chestnut Hill School Rd
Dandridge, TN 37725
Phone (865) 509-6611

4261 Big Creek Rd
Hartford, TN 37753
Phone (423) 487-2249

Dept 888179
Knoxville, TN 37995

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

1633 W Morris Blvd
Morristown, TN 37813
Phone (423) 492-7100

653 Merchants Greene Blvd
Ste 201
Morristown, TN 37813
Phone (423) 492-6700

103 Wilton Springs Rd
Newport, TN 37821
Phone (423) 487-2222

207 Murray Dr
Newport, TN 37821
Phone (423) 623-1057

229 Hedrick Dr
Newport, TN 37821
Phone (423) 623-1057

111 Mockingbird Ave
Parrottsville, TN 37843
Phone (423) 625-1170

Interoperability endpoints

  • Direct secure messaging: brotherton.deana.rymer@covenanthealth.cernerdirect.com

Organizations & group practices 11

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1508836842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 MERCHANTS GREENE BLVD.",
            "address_2": "SUITE 201",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37813",
            "telephone_number": "423-492-6700",
            "fax_number": "865-374-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 MERCHANTS GREENE BLVD.",
            "address_2": "SUITE 201",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37813",
            "telephone_number": "423-492-6700",
            "fax_number": "865-374-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Wilton Springs Road",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378216405",
            "country_code": "US",
            "telephone_number": "423-487-2222",
            "fax_number": "423-623-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROTHERTON",
        "first_name": "DEANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD30887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "3142811",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "3144181",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "3144180",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE-BOGARD",
            "identifier": "3144182",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3846342",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "100028814",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brotherton.deana.rymer@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "653 Merchants Greene Blvd.",
            "address_2": "Suite 201",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.