Active NPI
Evan Gregory
- Acute Care Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 36777
- Practice address
- 10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922 - Phone
- (865) 392-3400
- Fax
- (865) 392-3449
- NPI assigned
- Aug 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 36777 | TN | Primary |
Addresses
Primary practice location
10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922
Mailing address
10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922
Phone (865) 392-3400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 392-3400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knoxville Hma Cardiology PPM, LLC | Acute Care | Current | Accepting new patients |
Locations
10810 Parkside Dr
Ste 301
Knoxville, TN 37934
Phone (865) 470-2273
10800 Parkside Dr
Ste 331
Knoxville, TN 37934
Phone (865) 392-3400
10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Knoxville, TN
- NPI 1275811713
Acute Care
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tennova Healthcare-Newport Medical Center
- General Acute Care Hospital
- Newport, TN
- NPI 1972576247
-
dba Tennova Healthcare North Knoxville Medical Center
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
-
dba Big South Fork Medical Center
- Critical Access Hospital
- Oneida, TN
- NPI 1932646049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1831928357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 PARKSIDE DR STE 331",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341922",
"telephone_number": "865-392-3400",
"fax_number": "865-392-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 PARKSIDE DR STE 331",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341922",
"telephone_number": "865-392-3400",
"fax_number": "865-392-3449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "EVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-01",
"last_updated": "2024-08-01",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "36777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.