Individual provider Active NPI

Gregory Eugene Vandeven, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1811969157
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27297 Issued in TN
Practice address
3000 Getwell Rd
Memphis, TN 38118-2205
Phone
(901) 369-8100
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 27297 TN
Internal Medicine Physician 207R00000X 27297 TN Primary

Addresses

Primary practice location

3000 Getwell Rd
Memphis, TN 38118-2205

Mailing address

3960 Knight Arnold Rd
Suite 322
Memphis, TN 38118-3035
Phone (901) 369-4949

Other practice location 1

3960 Knight Arnold Rd
Suite 322
Memphis, TN 38118-3035
Phone (901) 369-4949

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
I20110120000546 TN Practitioner - Internal Medicine 1254333669 Practice locations: Memphis, TN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27297TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DMC-Memphis, LLC Current Accepting new patients

Locations

3000 Getwell Rd
Memphis, TN 38118
Phone (901) 369-8100

Interoperability endpoints

  • Direct secure messaging: gvandeven@yourcarecommunity.org

Organizations & group practices 1

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811969157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 KNIGHT ARNOLD RD",
            "address_2": "SUITE 322",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183035",
            "telephone_number": "901-369-4949",
            "fax_number": "901-369-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GETWELL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182205",
            "telephone_number": "901-369-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 Knight Arnold Rd",
            "address_2": "Suite 322",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381183035",
            "country_code": "US",
            "telephone_number": "901-369-4949",
            "fax_number": "901-369-6029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEVEN",
        "first_name": "GREGORY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "27297",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "27297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.