Individual provider Active NPI

Stuart Joseph Deaderick, M.D.

  • Vascular & Interventional Radiology Physician
  • Knoxville, TN
National Provider Identifier
1922443183
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
84375 Issued in GA
Practice address
2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Phone
(865) 595-4100
NPI assigned
May 1, 2013
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 84375 GA Primary

Addresses

Primary practice location

2001 Laurel Ave # N304
Knoxville, TN 37916-1810

Mailing address

2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Phone (865) 595-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190620003480 GA Practitioner - Diagnostic Radiology 1052551736 Reassigns benefits to 3 organizations
I20201001001406 FL Practitioner - Diagnostic Radiology 1052551736 Reassigns benefits to 1 organization
I20250925001577 TN Practitioner - Diagnostic Radiology 1052551736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Radiology, PCGroup PAC ID 9234041559, 64 clinicians
Gainesville Radiology Group PCGroup PAC ID 9335046382, 65 clinicians

Practice addresses (Care Compare)

2001 Laurel Ave
Suite N304
Knoxville, TN 37916-1810
Phone (865) 546-9484

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 535-3553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84375GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Vascular & Interventional Radiology CurrentSince Sep 15, 2020 Accepting new patients
Vista Radiology, PC. Vascular & Interventional Radiology CurrentSince Oct 1, 2025 Accepting new patients
Tower Imaging LLC Vascular & Interventional Radiology CurrentSince Jun 1, 2020 Accepting new patients
Gainesville Radiology Group, PC Vascular & Interventional Radiology CurrentSince Jul 1, 2019 Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients

Locations

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

3425 Buford Dr
Ste 100
Buford, GA 30519
Phone (678) 765-6060

227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136

108 Prominence Ct
Ste 120
Dawsonville, GA 30534
Phone (706) 344-6944

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

1250 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501
Phone (770) 531-2444

200 W Academy St NW
Gainesville, GA 30501
Phone (770) 800-0041

3137 Frontage Rd
Gainesville, GA 30504
Phone (770) 219-0500

535 Jesse Jewell Pkwy SE
Ste A
Gainesville, GA 30501
Phone (770) 534-9729

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

316 N Broad St
Ste 230
Winder, GA 30680

6344 Lonas Spring Dr
Knoxville, TN 37909
Phone (865) 247-8422

Dept 888302
Knoxville, TN 37995

Organizations & group practices 6

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 5

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1922443183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE # N304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-595-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE # N304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-595-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEADERICK",
        "first_name": "STUART",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "84375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.