Healthcare Provider Details

I. General information

NPI: 1902470453
Provider Name (Legal Business Name): AARON JAMES DEYO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY STE B-127
KNOXVILLE TN
37920-6900
US

IV. Provider business mailing address

1924 ALCOA HWY STE B-127
KNOXVILLE TN
37920-6900
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-3636
  • Fax: 865-305-8261
Mailing address:
  • Phone: 865-305-3636
  • Fax: 865-305-8261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number74460
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: