Individual provider Active NPI

Evan Smith, FNP-BC

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1770112096
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27280 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-2290
Phone
(615) 322-3000
NPI assigned
Apr 7, 2020
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27280 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-2290

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

1805 N Jackson St
Tullahoma, TN 37388-2290
Phone (931) 455-7767

Other practice location 2

1330 Cedar Ln Ste 100
Tullahoma, TN 37388-2284
Phone (931) 393-3366

Other practice location 3

1400 Willow Dr
Manchester, TN 37355-2438
Phone (931) 409-2194

Other identifiers 1

IdentifierTypeStateIssuer
Q059836MedicaidTN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817003565 TN Practitioner - Nurse Practitioner 7911323282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 Willow Dr
Manchester, TN 37355-2438
Phone (931) 409-2194

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
27280TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC Single Specialty CurrentSince Jul 8, 2020 Accepting new patients
Vanderbilt Integrated Providers, LLC CurrentSince Jun 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 8, 2020 Accepting new patients
Vanderbilt Integrated Providers, LLC Single Specialty CurrentSince Jun 1, 2021 Accepting new patients
Vanderbilt University Single Specialty PastSince Jul 1, 2021 Accepting new patients
Vanderbilt University Single Specialty Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

101 W Broad St
Smithville, TN 37166
Phone (615) 318-1220

1330 Cedar Ln
Ste 100
Tullahoma, TN 37388
Phone (931) 393-3366

Interoperability endpoints

  • Direct secure messaging: esmith653710@direct.vumc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1770112096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "fax_number": "615-322-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322290",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 N Jackson St",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373882290",
            "country_code": "US",
            "telephone_number": "931-455-7767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Cedar Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373882284",
            "country_code": "US",
            "telephone_number": "931-393-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Willow Dr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373552438",
            "country_code": "US",
            "telephone_number": "931-409-2194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EVAN",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q059836",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.