Active NPI
Lauren Michelle Edmond, DO
- Pediatrics Physician
- Sevierville, TN
National Provider Identifier
1619610631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6131
- Practice address
- 1115 Blanton Dr
Sevierville, TN 37862-5050 - Phone
- (865) 505-1990
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6131 | TN | Primary |
Addresses
Primary practice location
1115 Blanton Dr
Sevierville, TN 37862-5050
Mailing address
119 Epperson St
Athens, TN 37303-3478
Phone (423) 745-7500
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220526001343 | TN | Order and Referring Only - Pediatric Medicine | 9032597406 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6131 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1619610631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 EPPERSON ST",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033478",
"telephone_number": "423-745-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 BLANTON DR",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378625050",
"telephone_number": "865-505-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMOND",
"first_name": "LAUREN",
"middle_name": "MICHELLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2025-06-23",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "6131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sevierville, TN
- East Tennessee Children's Primary Care Center, Inc. (Dolly Parton Children's Hospital Sevierville Pediatrics)
- East Tennessee Oral & Maxillofacial Surgery, PC
- East TN Family Care LLC
- Elizabeth Joy Easton, MS
- Eddies Drug Store LLC (Eddie's Drug Store)
- Joby R. Edmonds, CRNA
- Sarah Edmonds, FNP-C
- Cynthia Eisenberg
- Emily McCarter Elder
- Lisa J Eldridge
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.