Individual provider Active NPI

Veronica Manaois Gubatan, MD

  • Psychiatry Physician
  • Maryville, TN
National Provider Identifier
1558369736
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD35514 Issued in TN
Practice address
405 Ellis Ave
Maryville, TN 37804-5823
Phone
(865) 980-5377
Fax
(865) 980-5376
NPI assigned
Jul 12, 2005
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD35514 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 identifiers 1

IdentifierTypeStateIssuer
Q009715MedicaidTN

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
I20090128000519 TN Practitioner - Psychiatry 7416840053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians

Practice addresses (Care Compare)

405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430

405 Ellis Ave
Maryville, TN 37804-5823
Phone (865) 980-5377

425 BMH Physicians
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5260

463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (864) 455-3748

Hospital & facility affiliations

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD35514TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center CurrentSince Sep 17, 2011 Accepting new patients
Blount Memorial Physician Group, Inc CurrentSince Jul 1, 2015 Accepting new patients
Frontier Health Past Accepting new patients
Cherokee Health Systems Psychiatry Past Accepting new patients
Morristown Hamblen Hospital Association Past Accepting new patients
Frontier Health PastSince Dec 28, 2006 Accepting new patients

Locations

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

220 Associates Blvd
Alcoa, TN 37701
Phone (865) 238-6400

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

103 W Broadway Ave
Maryville, TN 37801

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

451 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5377

458 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5355

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

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: veronica.gubatan.p3@direct.bmpg.nextgenshare.com
  • Direct secure messaging: vgubatan864011@direct.ghs.myhfn.org

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, 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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1558369736",
    "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": [],
    "basic": {
        "last_name": "GUBATAN",
        "first_name": "VERONICA",
        "middle_name": "MANAOIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD35514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009715",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.