Individual provider Active NPI

Leon Eldon Everett, MD

  • Family Medicine Physician
  • Lawrenceburg, TN
National Provider Identifier
1609879501
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD13175 Issued in TN
Practice address
184 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone
(931) 762-1800
Fax
(931) 762-9155
NPI assigned
May 24, 2005
Last updated
Feb 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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 MD13175 TN Primary

Addresses

Primary practice location

184 Prosser Rd
Lawrenceburg, TN 38464-4233

Mailing address

184 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone (931) 762-1800

Other identifiers 2

IdentifierTypeStateIssuer
080150685OtherTNRAILROAD MEDICARE
3184611MedicaidTN

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
I20070806000411 TN Practitioner - Family Practice 5092806091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Crockett, LLCGroup PAC ID 4789770199, 38 clinicians
Amg-Hillside LLCGroup PAC ID 9436240017, 25 clinicians

Practice addresses (Care Compare)

1275 E College St
Pulaski, TN 38478-4545

181 Bre Ave
Suite C
Pulaski, TN 38478-2944
Phone (931) 363-3086

184 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone (931) 762-5115

190 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone (931) 762-6571

192 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone (931) 762-2332

202 Hillside Dr
Pulaski, TN 38478-4566
Phone (931) 363-4543

204 Hillside Dr
Pulaski, TN 38478-4566
Phone (931) 363-3514

2121 N Locust Ave
Lawrenceburg, TN 38464-4454

4955 Hwy 43 N
Suite D
Mt Pleasant, TN 38474-5010
Phone (931) 964-0849

4955D Hwy 43 N
Mt Pleasant, TN 38474-5010
Phone (931) 964-0849

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13175TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Crockett, LLC CurrentSince Jul 22, 2019 Accepting new patients
Amg-Crockett, LLC Family Medicine Current Accepting new patients
Amg-Hillside LLC CurrentSince Dec 11, 2017 Accepting new patients
Amg Hillside LLC CurrentSince Dec 11, 2017 Accepting new patients
Amg-Hillside LLC Current Accepting new patients
Amg-Hillside LLC Past Accepting new patients
Amg-Crockett LLC Past Accepting new patients
Amg-Hillside LLC Past Accepting new patients
Amg Crockett LLC Family Medicine Past Accepting new patients
Amg-Crockett, LLC Family Medicine Past Accepting new patients
Amg Hillside LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

184 Prosser Rd
Lawrenceburg, TN 38464
Phone (931) 762-1800

1908 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7600

2019 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-1800

722 N Military St
Loretto, TN 38469
Phone (931) 853-4622

4955D Highway 43 N
Mt Pleasant, TN 38474
Phone (931) 964-0849

104 Ivy Ln
Pulaski, TN 38478
Phone (931) 292-6544

1255 E College St
Ste 400
Pulaski, TN 38478
Phone (931) 766-0077

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

181 Bre Ave
Ste C
Pulaski, TN 38478
Phone (931) 363-3086

204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: leon.everett.1@19363.direct.athenahealth.com

Organizations & group practices 12

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1609879501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 PROSSER RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644233",
            "telephone_number": "931-762-1800",
            "fax_number": "931-762-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 PROSSER RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644233",
            "telephone_number": "931-762-1800",
            "fax_number": "931-762-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "LEON",
        "middle_name": "ELDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD13175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080150685",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3184611",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.