Individual provider Active NPI

Susan Souther, M.D.

  • Cardiovascular Disease Physician
  • Maryville, TN
National Provider Identifier
1861482077
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
15704 Issued in TN
Practice address
1934 E Lamar Alexander Pkwy
Maryville, TN 37804-5284
Phone
(865) 331-4510
Fax
(865) 374-2128
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 15704 TN Primary

Addresses

Primary practice location

1934 E Lamar Alexander Pkwy
Maryville, TN 37804-5284

Mailing address

1934 E Lamar Alexander Pkwy
Maryville, TN 37804-5284
Phone (865) 331-4510

Other identifiers 1

IdentifierTypeStateIssuer
3015605MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address souther.susan.j@covenanthealth.cernerdirect.com Direct

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
I20090615000161 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981780731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians

Practice addresses (Care Compare)

162 BMH Physician
Office BLDG
Maryville, TN 37804-5902
Phone (865) 982-7681

266 Joule St
Alcoa, TN 37701-2422
Phone (865) 984-3864

339 BHM Physicians
Office BLDG.
Maryville, TN 37804-5820
Phone (865) 980-5082

349 BMH Physicians
Office BLDG
Maryville, TN 37804-5820
Phone (865) 980-5244

355 BMH Physician
Office BLDG
Maryville, TN 37804-5820
Phone (865) 980-5060

365 BMH Physicians
Office BLDG
Maryville, TN 37804-5820
Phone (865) 960-5364

405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430

425 BMH Physicians
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5260

463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (864) 455-3748

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
58.61
Promoting interoperability
92
Improvement activities
40
Cost
73.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15704TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Heart Consultants, P.C. Cardiovascular Disease Past Accepting new patients
Covenant Medical Group, Inc. Cardiovascular Disease PastSince Aug 1, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: souther.susan.j@covenanthealth.cernerdirect.com
  • Direct secure messaging: ssouther863985@direct.ghs.myhfn.org
  • Direct secure messaging: susan.souther.p1@direct.bmpg.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1861482077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045284",
            "telephone_number": "865-331-4510",
            "fax_number": "865-374-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045284",
            "telephone_number": "865-331-4510",
            "fax_number": "865-374-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHER",
        "first_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "15704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015605",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "souther.susan.j@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1934 E LaMar Alexander Pkwy",
            "city": "Maryville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378045284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.