Individual provider Active NPI

Anthony Everhart, MD

  • Internal Medicine Physician
  • Kingsport, TN
National Provider Identifier
1972505279
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 37103 Issued in TN
Practice address
2033 Meadowview LN
3Rd Floor
Kingsport, TN 37660-7569
Phone
(423) 392-6200
Fax
(423) 392-6593
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD 37103 TN Primary

Addresses

Primary practice location

2033 Meadowview LN
3Rd Floor
Kingsport, TN 37660-7569

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066

Other identifiers 2

IdentifierTypeStateIssuer
010100437MedicaidVA
3036752MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 37103TNMDInternal Medicine Physician
37103TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Top Pharmacy of Loudon Inc. Internal Medicine CurrentSince May 24, 2024 Accepting new patients
Westmoreland Drugs CurrentSince Feb 23, 2025 Accepting new patients
Brown Pharmacy, LLC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Portland Prescription Shop PLLC Internal Medicine CurrentSince Jul 25, 2023 Accepting new patients
Portland Clinic Pharmacy Internal Medicine CurrentSince Aug 22, 2023 Accepting new patients

Locations

734 Nashville Pike
Gallatin, TN 37066
Phone (615) 265-0521

702 Grove St
Loudon, TN 37774
Phone (865) 458-9080

705 S Broadway St
Portland, TN 37148
Phone (615) 323-5050

1194 New Highway 52 E
Westmoreland, TN 37186
Phone (615) 644-0102

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1972505279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2066",
            "fax_number": "423-857-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MEADOWVIEW LN",
            "address_2": "3RD FLOOR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607569",
            "telephone_number": "423-392-6200",
            "fax_number": "423-392-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERHART",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD 37103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010100437",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3036752",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.