Southeastern Retina Associates, P.C.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

SOUTHEASTERN RETINA ASSOCIATES, P.C.

Practice address

1342 Old Weisgarber Rd
Knoxville, TN 37909-1291

Phone

(865) 588-0811

NPI assigned

Sep 26, 2006

Last updated

Oct 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Laverghetta, CEO

Title

Ceo

Phone

(865) 588-0811

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Southeastern Retina Associates, P.C.

  • Retina Specialist (Ophthalmology) Physician
  • Hixson, TN
  • NPI 1104097310

  7517862360

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southeastern Retina Associates, P.C.

  • Retina Specialist (Ophthalmology) Physician
  • Hixson, TN
  • NPI 1104097310

  O20031204000507

  Same enrollment
• Southeastern Retina Associates, P.C.

  • Retina Specialist (Ophthalmology) Physician
  • Kingsport, TN
  • NPI 1932370145

  O20031204000507, O20040602001360

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Howard Lee Cummings, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Kingsport, TN
  • NPI 1669478996

  VA

  Medicare reassignment Care Compare group NPD
• Cristoforo Larzo, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Kingsport, TN
  • NPI 1205803285

  VA

  Medicare reassignment Care Compare group NPD
• Claxton Allen Baer, M.D.

  • Ophthalmology Physician
  • Kingsport, TN
  • NPI 1144255100

  VA

  Medicare reassignment NPD
• David Allan Couch, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Kingsport, TN
  • NPI 1659377679

  VA

  Medicare reassignment NPD
• Joseph Michael Gunn, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Kingsport, TN
  • NPI 1316943640

  VA

  Medicare reassignment NPD
• Mark Ellsworth Kleinman, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Kingsport, TN
  • NPI 1063676310

  VA

  Medicare reassignment NPD
• Michael Allen Magee, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Kingsport, TN
  • NPI 1134120868

  VA

  Medicare reassignment NPD
• Nicholas Gray Anderson, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Knoxville, TN
  • NPI 1972509297
  NPD
• Scott Matthew Barb, M.D.

  • Ophthalmology Physician
  • Knoxville, TN
  • NPI 1609137595
  NPD
• Jacob Tanner Cox, MD, MPHIL

  • Retina Specialist (Ophthalmology) Physician
  • Knoxville, TN
  • NPI 1811387061
  NPD
• Jonathan Samuel Fuerst, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Knoxville, TN
  • NPI 1811421555
  NPD
• Ailee Mark Laham, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Knoxville, TN
  • NPI 1477791143
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1932200664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 EXECUTIVE PARK DR STE 202A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234670",
            "telephone_number": "865-588-0811",
            "fax_number": "865-934-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 OLD WEISGARBER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091291",
            "telephone_number": "865-588-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 E Weisgarber Rd",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379092686",
            "country_code": "US",
            "telephone_number": "865-588-0811",
            "fax_number": "865-584-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEASTERN RETINA ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "LAVERGHETTA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-588-0811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL1229",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3850174",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG2897",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD7808",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Retina Specialist (Ophthalmology) Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Retina Specialist (Ophthalmology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.