NPIMap

Organization Active NPI

Evergreen Nephrology PLLC

  • Nephrology Physician
  • Nashville, TN
National Provider Identifier
1982305082
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
EVERGREEN NEPHROLOGY PLLC
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

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Dr. Timothy Pflederer, MDNPI 1154451573
Title
Owner
Phone
(833) 633-1290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X
Licensed Vocational NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164X00000X
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

315 Deaderick St Ste 1140
Nashville, TN 37238-3007

Mailing address

315 Deaderick St Ste 1140
Nashville, TN 37238-3007
Phone (833) 633-1290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, DC, TX, VA, MN, CA, PA, NM, IL9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20230613002402 TN Part B Supplier - Clinic/Group Practice 1850758491 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, TN
O20230925000232 DC Part B Supplier - Clinic/Group Practice 1850758491 Receives reassigned benefits from 1 practitioner
Practice locations: MC Lean, VA; Vienna, VA
O20240308003383 TX Part B Supplier - Clinic/Group Practice 1850758491 Practice locations: Fort Worth, TX
O20240528002972 VA Part B Supplier - Clinic/Group Practice 1850758491 Receives reassigned benefits from 1 practitioner
Practice locations: Fredericksburg, VA
O20250109000026 MN Part B Supplier - Clinic/Group Practice 1850758491 Receives reassigned benefits from 1 practitioner
Practice locations: Ramsey, MN
O20250128004226 CA Part B Supplier - Clinic/Group Practice 1850758491 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA
O20251008001814 PA Part B Supplier - Clinic/Group Practice 1850758491 Receives reassigned benefits from 1 practitioner
Practice locations: Sanatoga, PA
O20251106001457 NM Part B Supplier - Clinic/Group Practice 1850758491 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20251216002074 IL Part B Supplier - Clinic/Group Practice 1850758491 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL; Tremont, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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": "1982305082",
    "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",
            "telephone_number": "833-633-1290"
        },
        {
            "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 PLLC",
        "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_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-633-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • 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.