Individual provider Active NPI

Evan Gregory

  • Acute Care Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1831928357
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
36777 Issued in TN
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

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241102000292 TN Practitioner - Nurse Practitioner 5496288177 Reassigns benefits to 1 organization

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
Knoxville Hma Cardiology PPM, LLCGroup PAC ID 1658542758, 42 clinicians

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

OrganizationSpecialtyStatusNew patients
Knoxville Hma Cardiology PPM, LLC Acute Care CurrentSince Aug 15, 2024 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.