Active NPI
Jeffrey L Stevens, MD
- Family Medicine Physician
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34136
- Practice address
- 701 Morganton Square Dr
Maryville, TN 37801-4796 - Phone
- (865) 982-7101
- Fax
- (833) 908-2132
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34136 | TN | Primary |
Addresses
Primary practice location
701 Morganton Square Dr
Maryville, TN 37801-4796
Mailing address
1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3854345 | Medicaid | TN | |
| 080171896 | Other | TN | RR MEDICARE PIN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627
1275 Dick Lonas Rd
Knoxville, TN 37909-1326
201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627
9333 Park W Blvd
Knoxville, TN 37923-4305
Hospital & facility affiliations
- University of TN Medical Center Home Care Services
- Amedisys Home Health Care
- Prisma Home Health Services
- Blount Memorial Hospital
- University Health System, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Family Medicine | Current | Accepting new patients |
| Summit Medical Group PLLC | Family Medicine | Past | Accepting new patients |
| Summit Medical Group, PLLC | Family Medicine | Past | Accepting new patients |
| Summit Medical Group,PLLC | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909
4117 E Emory Rd
Knoxville, TN 37938
Phone (865) 922-2121
701 Morganton Square Dr
Maryville, TN 37801
Phone (865) 982-7101
Interoperability endpoints
- jeffrey.stevens.1@20785.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1861571028
-
- Family Medicine Physician
- Oak Ridge, TN
- NPI 1437238797
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1699722470
-
- Internal Medicine Physician
- Cookeville, TN
- NPI 1588362164
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Knoxville, TN
- NPI 1710935408
-
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
-
- Home Health Agency
- Maryville, TN
- NPI 1649266974
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
-
- Home Health Agency
- Knoxville, TN
- NPI 1346460953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1588600100",
"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": "865-584-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MORGANTON SQUARE DR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378014796",
"telephone_number": "865-982-7101",
"fax_number": "833-908-2132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JEFFREY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "34136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3854345",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "080171896",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.