Individual provider Active NPI

Kelly R Everman, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Nashville, TN
National Provider Identifier
1730181090
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
MD48847 Issued in TN
Practice address
1800 Church St
Suite 100
Nashville, TN 37203-2208
Phone
(615) 329-3624
Fax
(615) 329-0639
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD48847 TN
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD48847 TN Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 38136 KY

Addresses

Primary practice location

1800 Church St
Suite 100
Nashville, TN 37203-2208

Mailing address

1800 Church St
Suite 100
Nashville, TN 37203-2208
Phone (615) 329-3624

Other identifiers 2

IdentifierTypeStateIssuer
1529953MedicaidTN
64071517MedicaidKY

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
I20120822000369 TN Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 9234025768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
University of Louisville School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 Mallory LN
Suite 203
Franklin, TN 37067-8235
Phone (615) 250-0885

Hospital & facility affiliations

  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

Merit-based Incentive Payment System (MIPS)

Final score
95.93 of 100Reported as individual
Quality
91.86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD48847TNMDOphthalmology Physician
38136KYMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Oculoplastics PLLC Ophthalmic Plastic and Reconstructive Surgery CurrentSince Feb 19, 2020 Accepting new patients
Wesley & Klippenstein, PC Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ophthalmic Surgeons & Consultants of Ohio Inc Ophthalmology Past Accepting new patients
Ophthalmic Plastic Surgery Inc Ophthalmology Past Accepting new patients
Tennessee Retina PC Ophthalmology PastSince Feb 1, 2008 Accepting new patients

Locations

2001 Mallory Ln
Ste 203
Franklin, TN 37067
Phone (615) 250-0885

1800 Church St
Ste 100
Nashville, TN 37203
Phone (615) 329-3624

Interoperability endpoints

  • Direct secure messaging: keverman@eliteop.emadirect.md

Organizations & group practices 7

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.

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1730181090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CHURCH ST",
            "address_2": "SUITE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032208",
            "telephone_number": "615-329-3624",
            "fax_number": "615-329-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CHURCH ST",
            "address_2": "SUITE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032208",
            "telephone_number": "615-329-3624",
            "fax_number": "615-329-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERMAN",
        "first_name": "KELLY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD48847",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "MD48847",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "38136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529953",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64071517",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.