| Housecall Primary Care, Pllc | |
|
1812 E Lamar Alexander Pkwy Maryville TN 37804-5283 | |
| (865) 980-5200 | |
| (865) 246-2106 |
| Full Name | Housecall Primary Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1812 E Lamar Alexander Pkwy, Maryville, Tennessee |
| Authorized Official Name and Position | Deaver T Shattuck (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8652462104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Housecall Primary Care, Pllc Po Box 5777 Maryville TN 37802-5777 Ph: (865) 246-2104 | Housecall Primary Care, Pllc 1812 E Lamar Alexander Pkwy Maryville TN 37804-5283 Ph: (865) 980-5200 |
| NPI Number | 1578956710 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 06/27/2025 |
| Medicare PECOS PAC ID | 8426361932 |
|---|---|
| Medicare Enrollment ID | O20150713001953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578956710 | NPI | - | NPPES |
| Q012236 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Tennessee) | Primary |
| 363A00000X | Physician Assistant | (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | (Tennessee) | Secondary |
| Provider Name | Deaver T Shattuck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013985407 PECOS PAC ID: 4587569157 Enrollment ID: I20031205000421 |
| Provider Name | Ingrid A Gurney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518991298 PECOS PAC ID: 3072571538 Enrollment ID: I20041230000035 |
| Provider Name | Carole L Long |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609912054 PECOS PAC ID: 2062453178 Enrollment ID: I20050519000175 |
| Provider Name | Rebecca L Mackenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831143072 PECOS PAC ID: 2668477001 Enrollment ID: I20060919000165 |
| Provider Name | James T Gillespie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841267333 PECOS PAC ID: 1456357375 Enrollment ID: I20061016000475 |
| Provider Name | Teresa M Salazar-catron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588741680 PECOS PAC ID: 2860390184 Enrollment ID: I20090128000495 |
| Provider Name | Lesa R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942532395 PECOS PAC ID: 4688703960 Enrollment ID: I20100525000553 |
| Provider Name | Michael Dwight Floyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861470809 PECOS PAC ID: 9436320512 Enrollment ID: I20110921000472 |
| Provider Name | Benjamin R Helms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194958942 PECOS PAC ID: 2466617162 Enrollment ID: I20120703000014 |
| Provider Name | Stephanie M Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962842278 PECOS PAC ID: 3173765658 Enrollment ID: I20130813000367 |
| Provider Name | Robin F Mahlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073718904 PECOS PAC ID: 1850560715 Enrollment ID: I20131104001346 |
| Provider Name | Jamie B Monger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043649031 PECOS PAC ID: 2961632609 Enrollment ID: I20140225002191 |
| Provider Name | Kayleigh Mcdaniel Litton |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588921407 PECOS PAC ID: 8527200021 Enrollment ID: I20150729009140 |
| Provider Name | Patricia A Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881077568 PECOS PAC ID: 0345559332 Enrollment ID: I20151013001920 |
| Provider Name | Beckey Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033585930 PECOS PAC ID: 9032410337 Enrollment ID: I20151210000772 |
| Provider Name | Shannon E Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124484415 PECOS PAC ID: 5395042105 Enrollment ID: I20160322001819 |
| Provider Name | Jamie Gibson Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326490392 PECOS PAC ID: 7012201411 Enrollment ID: I20160808002287 |
| Provider Name | Amy S Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275069882 PECOS PAC ID: 0446528996 Enrollment ID: I20170626000325 |
| Provider Name | Sommer Ayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679000996 PECOS PAC ID: 6103197181 Enrollment ID: I20170809003015 |
| Provider Name | Alkiva Nicole Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033628284 PECOS PAC ID: 7315213170 Enrollment ID: I20171023000853 |
| Provider Name | Lauren R Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710490297 PECOS PAC ID: 5799040457 Enrollment ID: I20180530000337 |
| Provider Name | Emmanuel Isang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215347174 PECOS PAC ID: 6103191432 Enrollment ID: I20190924002437 |
| Provider Name | Zachary M Marlette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982137402 PECOS PAC ID: 3779834221 Enrollment ID: I20200804003403 |
| Provider Name | Anna J Acker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770938847 PECOS PAC ID: 5799063574 Enrollment ID: I20200827003348 |
| Provider Name | Erika Noelle Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649881038 PECOS PAC ID: 4880014620 Enrollment ID: I20201016002525 |
| Provider Name | Madison Witt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689292948 PECOS PAC ID: 3779986120 Enrollment ID: I20210723000268 |
| Provider Name | Bettina Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891364774 PECOS PAC ID: 4587067764 Enrollment ID: I20210726002360 |
| Provider Name | Sheri Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245858414 PECOS PAC ID: 8921406836 Enrollment ID: I20211007000556 |
| Provider Name | Kierra Askew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588331300 PECOS PAC ID: 5991101081 Enrollment ID: I20220217002001 |
| Provider Name | Lori Michelle Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386395853 PECOS PAC ID: 5890173967 Enrollment ID: I20220601001508 |
| Provider Name | Kelsey Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386340412 PECOS PAC ID: 5092188946 Enrollment ID: I20230224000569 |
| Provider Name | Daniel Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073204285 PECOS PAC ID: 5698132835 Enrollment ID: I20230605000330 |
Michael Wall, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 362 High St, Maryville, TN 37804 Phone: 865-413-1589 Fax: 865-205-9475 | |
Wound Care Solutions Of Tennessee, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Washington St, Maryville, TN 37804 Phone: 770-714-9292 | |
Independent Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2324 Market Place Dr, Maryville, TN 37801 Phone: 865-643-8681 Fax: 865-643-8682 | |
Premise Health Of Tennessee Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Robert C Jackson Dr, Maryville, TN 37801 Phone: 865-724-2334 Fax: 865-724-2344 | |
Blount Gastroenterology Assoc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1706 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-0073 Fax: 865-984-1731 | |
Summit Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Station Dr, Maryville, TN 37804 Phone: 865-982-7101 Fax: 865-681-6291 | |
Appalachian Development Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 129 Montgomery Ln, Maryville, TN 37803 Phone: 865-681-1224 Fax: 865-681-5185 |