Individual provider Active NPI

Meredith T Overholt, M.D.

  • Specialist
  • Knoxville, TN
National Provider Identifier
1801949151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD28928 Issued in TN
Practice address
10215 Kingston Pike # 200
Knoxville, TN 37922-3222
Phone
(865) 584-8580
Fax
(865) 251-9939
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD28928 TN Primary

Addresses

Primary practice location

10215 Kingston Pike # 200
Knoxville, TN 37922-3222

Mailing address

10215 Kingston Pike # 200
Knoxville, TN 37922-3222
Phone (865) 584-8580

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
I20050615000119 TN Practitioner - Dermatology 2466494356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Wellness Center PCGroup PAC ID 1658313549, 8 clinicians

Practice addresses (Care Compare)

10215 Kingston Pike
Suite 200
Knoxville, TN 37909-3222
Phone (865) 584-8580

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
93.26
Improvement activities
40
Cost
77.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64
Removal of skin lesions1003
Removal or shaving of skin growth1-10
Skin biopsy261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28928TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Wellness Center PC CurrentSince May 1, 2005 Accepting new patients
Allergy Associates, P.a. Specialist Past Accepting new patients

Locations

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 848-5888

10215 Kingston Pike
Ste 200
Knoxville, TN 37922
Phone (865) 584-8580

Interoperability endpoints

  • Direct secure messaging: meredithoverholt@tswc.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIFCAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801949151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 KINGSTON PIKE # 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223222",
            "telephone_number": "865-584-8580",
            "fax_number": "865-251-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 KINGSTON PIKE # 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223222",
            "telephone_number": "865-584-8580",
            "fax_number": "865-251-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERHOLT",
        "first_name": "MEREDITH",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD28928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.