NPIMap

Organization Active NPI

Evergreen Nephrology of the Midwest, PLLC

  • Nephrology Physician
  • Nashville, TN
National Provider Identifier
1801597869
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
EVERGREEN NEPHROLOGY OF THE MIDWEST, PLLC
Practice address
315 Deaderick St Ste 1140
Nashville, TN 37238-3007
Phone
(833) 633-1290
NPI assigned
Mar 15, 2023
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Dr. Timothy Pflederer, MDNPI 1154451573
Title
Owner
Phone
(833) 633-1290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Registered Dietitian 133V00000X
Registered Nurse 163W00000X
Licensed Practical Nurse 164W00000X
Licensed Vocational Nurse 164X00000X
Pharmacist 183500000X
Internal Medicine Physician 207R00000X
Nephrology Physician 207RN0300X Primary
Psychiatry Physician 2084P0800X
Podiatrist 213E00000X
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X

Addresses

Primary practice location

315 Deaderick St Ste 1140
Nashville, TN 37238-3007

Mailing address

315 Deaderick St Ste 1140
Nashville, TN 37238-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN, PA, TN, CA, TX, DC, NM8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20230731003747 IL Part B Supplier - Clinic/Group Practice 3476914961 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL
O20230803003901 MN Part B Supplier - Clinic/Group Practice 3476914961 Receives reassigned benefits from 1 practitioner
Practice locations: Ramsey, MN
O20240206001312 PA Part B Supplier - Clinic/Group Practice 3476914961 Receives reassigned benefits from 2 practitioners
Practice locations: Sanatoga, PA; Philadelphia, PA
O20250109004036 TN Part B Supplier - Clinic/Group Practice 3476914961 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, TN
O20250311003603 CA Part B Supplier - Clinic/Group Practice 3476914961 Receives reassigned benefits from 1 practitioner
Practice locations: La Mesa, CA; San Diego, CA
O20250502002193 TX Part B Supplier - Clinic/Group Practice 3476914961 Practice locations: Fort Worth, TX
O20251110001205 DC Part B Supplier - Clinic/Group Practice 3476914961 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA
O20260105000650 NM Part B Supplier - Clinic/Group Practice 3476914961 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1801597869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 DEADERICK ST STE 1140",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372383007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 DEADERICK ST STE 1140",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372383007",
            "telephone_number": "833-633-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN NEPHROLOGY OF THE MIDWEST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "PFLEDERER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-633-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.