Active NPI
Gregory Eugene Vandeven, M.D.
- Internal Medicine Physician
- Memphis, TN
National Provider Identifier
1811969157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 27297
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 27297 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DMC-Memphis, LLC | Current | Accepting new patients |
Locations
3000 Getwell Rd
Memphis, TN 38118
Phone (901) 369-8100
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1437188216
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.