Active NPI
Stuart Joseph Deaderick, M.D.
- Vascular & Interventional Radiology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 84375
- Practice address
- 2001 Laurel Ave # N304
Knoxville, TN 37916-1810 - Phone
- (865) 595-4100
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1386698710
TN, Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Gainesville, GA
- NPI 1922037605
GA, Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
FL, Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1467654244
GA, Vascular & Interventional Radiology
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
Hospital
-
- General Acute Care Hospital
- Morristown, TN
- NPI 1912997024
Hospital
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
Hospital
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, PCGainesville Radiology Group PC
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
- Northeast Georgia Medical Center, Inc
- Fort Sanders Regional Medical Center
- Parkwest Medical Center
- Leconte Medical Center
- Morristown Hamblen Hospital Association
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 3
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84375 | GA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mori Bean and Brooks Inc | Vascular & Interventional Radiology | Current | Accepting new patients |
| Vista Radiology, PC. | Vascular & Interventional Radiology | Current | Accepting new patients |
| Gainesville Radiology Group, PC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Vascular & Interventional Radiology | Current | 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
535 Jesse Jewell Pkwy SE
Ste A
Gainesville, GA 30501
Phone (770) 534-9729
200 W Academy St NW
Gainesville, GA 30501
Phone (770) 800-0041
1250 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501
Phone (770) 531-2444
3137 Frontage Rd
Gainesville, GA 30504
Phone (770) 219-0500
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 84375 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Mailing address
2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Phone (865) 595-4100
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003222682G | Medicaid | GA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2026.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003222682G",
"state": "GA"
}
],
"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 Jan 29, 2026; 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.