KELLY R EVERMAN M.D., NPI 1730181090
Ophthalmology in NASHVILLE, TN
Last Updated on : Mar 23,2017
About KELLY R EVERMAN (NPI 1730181090)
KELLY R EVERMAN is an Ophthalmology provider in NASHVILLE, United States. His medical specialization is Ophthalmology with a focus in Ophthalmic Plastic and Reconstructive Surgery.
1730181090 is NPI number of KELLY R EVERMAN.
KELLY R EVERMAN's primary taxonomy code based on NPI Lookup is 207WX0200X with license number MD48847. This taxonomy code refers to Ophthalmology.
KELLY R EVERMAN has more than 17 years of experience.
KELLY R EVERMAN current practice location address is 1800 CHURCH ST, NASHVILLE, TN. KELLY R EVERMAN can be reached out via phone at 615-329-3624 and via fax at 615-329-0639 .
You can also correspond with KELLY R EVERMAN through mail at mailing address 1800 CHURCH ST, NASHVILLE, TN, United States. Mailing address contact number is 615-329-3624.
The enumeration date of KELLY R EVERMAN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 6 years ago.1730181090 NPI Information
Basic NPI information of KELLY R EVERMAN (NPI 1730181090) is provided below.
| Name | KELLY R EVERMAN |
|---|---|
| National Provider Id (NPI) | 1730181090 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 1800 CHURCH ST,
SUITE 100
NASHVILLE, TN, United States |
| Practice Telephone | 615-329-3624 |
| Practice Fax Number | 615-329-0639 |
| Mailing Address | 1800 CHURCH ST ,
SUITE 100
NASHVILLE, TN, United States |
| Mailing Telephone | 615-329-3624 |
| Mailing Fax Number | 615-329-0639 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 23-Mar-2017 |
KELLY R EVERMAN (NPI 1730181090) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207WX0200X | Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | MD48847 | TN |
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
KELLY R EVERMAN (NPI 1730181090) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD48847 | TN |
| N | 207WX0200X | Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | 38136 | KY |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1529953 | MEDICAID (05) | TN | |
| 64071517 | MEDICAID (05) | KY |
KELLY R EVERMAN (NPI 1730181090) Office Location
Office location of KELLY R EVERMAN is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1629247762 | .JESSUP EYE CARE, INC | Optometrist | 7640 HIGHWAY 70 S,
SUITE 204 NASHVILLE, TN, United States |
22-Feb-2008 |
| 1891260691 | 1 LIFELINE MEDICAL TRANSPORT | Non-emergency Medical Transport (VAN) | 281 CUMBERLAND BND APT 434,
NASHVILLE, TN, United States |
08-Oct-2018 |
| 1982379285 | 100 CHIRO SUTTER, LLC | Chiropractor | 4110 CHARLOTTE AVE,
NASHVILLE, TN, United States |
10-Aug-2021 |
| 1558726406 | 12 SOUTH CHIROPRACTIC, LLC | Chiropractor | 2823 BRANSFORD AVE,
NASHVILLE, TN, United States |
19-Dec-2015 |
| 1619154440 | 17TH AVENUE PSYCHIATRY | Psychiatry & Neurology, Child & Adolescent Psychiatry | PO BOX 40466,
NASHVILLE, TN, United States |
23-Jan-2008 |
| 1851811830 | 180 HEALTH PARTNERS , INC | Case Management | 555 MARRIOTT DR STE 315,
NASHVILLE, TN, United States |
21-Jun-2017 |
| 1922436427 | 1ST ACCESS BILLING SERVICE | Non-emergency Medical Transport (VAN) | 1321 MURFREESBORO PIKE,
SUITE 325 NASHVILLE, TN, United States |
17-Oct-2013 |
| 1598353740 | 24 HOUR HOME CARE SERVICES | In Home Supportive Care | 178 VILLAGE GREEN DR,
NASHVILLE, TN, United States |
04-Jan-2021 |
| 1770861809 | 24/7 HOME HEALTH CRAE | Home Health | 3108 VAILVIEW DR,
NASHVILLE, TN, United States |
22-Jul-2011 |
| 1962676304 | 32ND STREET SURGERY CENTER, LLC | Clinic/Center, Ambulatory Surgical | 1531 E 32ND STREET,
SUITE 6 JOPLIN, MO, United States |
16-Apr-2008 |
| 1891432159 | 360 DERMATOLOGY, PC | Dermatology | 7928 KIRKFIELD DR,
NASHVILLE, TN, United States |
18-May-2022 |
| 1487382800 | 365 WORKS, LLC | Home Delivered Meals | 810 DOMINICAN DR STE 304,
NASHVILLE, TN, United States |
12-Aug-2022 |
| 1710507140 | 615 COUNSELING LLC | Counselor, Professional | 4235 HILLSBORO PIKE STE 300,
NASHVILLE, TN, United States |
27-Apr-2020 |
| 1013247758 | 9 MONTHS & BEYOND, LLC | Registered Nurse, Lactation Consultant | PO BOX 292849,
NASHVILLE, TN, United States |
31-Dec-2009 |
| 1861836298 | 9 MONTHS AND BEYOND, LLC | Specialist | PO BOX 292849,
NASHVILLE, TN, United States |
29-Apr-2013 |
| 1396312021 | 901 45TH STREET WEST PALM BEACH FLORIDA BEHAVIORAL HEALTH HOSPITAL LLC | Psychiatric Hospital | 993 45TH ST,
MANGONIA PARK, FL, United States |
10-Jun-2021 |
| 1063169902 | A & E TRANSPORTATION LLC | Non-emergency Medical Transport (VAN) | 311 CARTER ST APT 209,
NASHVILLE, TN, United States |
09-Mar-2022 |
| 1770889248 | A BETTER LIFE HEALTH CARE LLC | Home Health | 2701 EDEN ST,
NASHVILLE, TN, United States |
01-Feb-2011 |
| 1194453985 | A BETTER SOLUTION IN HOME CARE | In Home Supportive Care | 1100 KERMIT DR STE 108,
NASHVILLE, TN, United States |
10-Aug-2022 |
| 1750863874 | A BRIGHTER DAY PEDIATRICS, LLC | Pediatrics | 393 WALLACE RD STE 202,
NASHVILLE, TN, United States |
05-Sep-2018 |
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FAQs
Whose NPI Number is 1730181090?1730181090 is the NPI number of KELLY R EVERMAN.
What is the specialty for KELLY R EVERMAN?The Specialty of KELLY R EVERMAN is Ophthalmology.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|