Individual provider Active NPI

Alyssa Invergo Taylor, OD

  • Optometrist
  • Sevierville, TN
National Provider Identifier
1689200156
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3664 Issued in TN
Practice address
750 Winfield Dunn Pkwy Unit 120
Sevierville, TN 37876-5566
Phone
(865) 280-1165
Fax
(865) 584-3892
NPI assigned
Mar 17, 2020
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4520ATI OR
Optometrist 152W00000X 3664 TN Primary

Addresses

Primary practice location

750 Winfield Dunn Pkwy Unit 120
Sevierville, TN 37876-5566

Mailing address

1124 E Weisgarber Rd Ste 100
Knoxville, TN 37909-2686
Phone (865) 584-0905

Other practice location 1

1124 E Weisgarber Rd Ste 100
Knoxville, TN 37909-2686
Phone (865) 584-0905

Other practice location 2

College of Optometry 2043 College Way
Forest Grove, OR 97116-9711
Phone (503) 352-2020

Other practice location 3

10841 Hardin Valley Rd
Knoxville, TN 37932-1410
Phone (865) 761-4248

Other practice location 4

962 Dolly Parton Pkwy
Sevierville, TN 37862-3707
Phone (865) 428-8000

Other practice location 5

1245 Madison Ave
Memphis, TN 38104-2211
Phone (901) 722-3250

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726001358 TN Practitioner - Optometry 6507288024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Cunningham Taylor PCGroup PAC ID 0244216562, 15 clinicians

Practice addresses (Care Compare)

750 Winfield Dunn Pkwy
Unit 120
Sevierville, TN 37876-5566
Phone (865) 584-0905

Merit-based Incentive Payment System (MIPS)

Final score
89.31 of 100Reported as group
Quality
97.97
Promoting interoperability
85
Improvement activities
40
Cost
78.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4520ATIORMDOptometrist
3664TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Cunningham Taylor PC Optometrist CurrentSince Jul 14, 2021 Accepting new patients
Campbell Cunningham Taylor PC CurrentSince Jul 14, 2021 Accepting new patients

Locations

10841 Hardin Valley Rd
Knoxville, TN 37932
Phone (865) 584-0900

1124 E Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone 8655840905322

750 Winfield Dunn Pkwy
Unit 120
Sevierville, TN 37876
Phone (865) 280-1165

962 Dolly Parton Pkwy
Sevierville, TN 37862
Phone (865) 428-8000

Interoperability endpoints

  • Direct secure messaging: ainvergo@ccth.intellechartdirect.net
  • Direct secure messaging: ainvergo315792@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1689200156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E WEISGARBER RD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092686",
            "telephone_number": "865-584-0905",
            "fax_number": "865-584-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WINFIELD DUNN PKWY UNIT 120",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378765566",
            "telephone_number": "865-280-1165",
            "fax_number": "865-584-3892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 E Weisgarber Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379092686",
            "country_code": "US",
            "telephone_number": "865-584-0905",
            "fax_number": "865-584-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "College of Optometry 2043 College Way",
            "address_purpose": "LOCATION",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971169711",
            "country_code": "US",
            "telephone_number": "503-352-2020",
            "fax_number": "503-352-2261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10841 Hardin Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379321410",
            "country_code": "US",
            "telephone_number": "865-761-4248",
            "fax_number": "865-244-2512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "962 Dolly Parton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378623707",
            "country_code": "US",
            "telephone_number": "865-428-8000",
            "fax_number": "865-428-2091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381042211",
            "country_code": "US",
            "telephone_number": "901-722-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ALYSSA",
        "middle_name": "INVERGO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4520ATI",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.