Evergreen Nephrology of Golden State PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

EVERGREEN NEPHROLOGY OF GOLDEN STATE PC

Practice address

315 Deaderick St Ste 1140
Nashville, TN 37238-3007

Phone

(833) 633-1290

NPI assigned

Mar 15, 2023

Last updated

Jul 9, 2026By 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

Dr. Timothy A. Pflederer, MDNPI 1154451573

Title

Owner

Phone

(309) 696-0683

Specialties & licenses 12

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TN, MN3 enrollments

Enrollment records 3

Practitioners 6

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.

• Emily Cooper, APRN

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1811538580
  Medicare reassignment NPD
• Abigail Baer, LCSW

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1316795644

  CA

  Medicare reassignment
• Mariah Chapman, LICSW

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1073390563

  MN

  Medicare reassignment
• Timothy A Pflederer, MD

  • Nephrology Physician
  • Peoria, IL
  • NPI 1154451573
  NPD (past) Authorized official
• Scott Anthony Mancuso, M.D.

  • Internal Medicine Physician
  • Huntington Beach, CA
  • NPI 1962497024
  NPD
• Stanley D Crittenden, M.D.

  • Internal Medicine Physician
  • Downey, CA
  • NPI 1477764678
  NPD (past)

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1932800927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 DEADERICK ST STE 1140",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372383007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 DEADERICK ST STE 1140",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372383007",
            "telephone_number": "833-633-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN NEPHROLOGY OF GOLDEN STATE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "PFLEDERER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-696-0683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Everett, M.A.
• Natasha Everett, MS
• Stewart Everett
• Courtney Diane Everetts, NP
• Evergreen Healthcare Tennessee LLC
• Evergreen Nephrology of New York PLLC
• Evergreen Nephrology of the Midwest, PLLC
• Evergreen Nephrology PLLC
• Evergreen Network LLC
• Evergreen Presbyterian Ministries of Middle TN

• Nephrology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.