Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Devon Ghodasra, MD

Individual provider Retina Specialist (Ophthalmology) Physician · NPI 1619298262

Devon Ghodasra, MD is an Ophthalmology in Hixson, Tennessee. Graduated from Medical College of Georgia School of Medicine in 2010, 16 years ago. Practices with Southeastern Retina Associates PC, a 21-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
16
Trained at
Medical College of Georgia School of Medicine
Licensed in
TN
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1961 Northpoint Blvd Ste 110
Hixson, TN 37343-4556
Phone: (423) 756-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 54508 (TN)

Record details

NPI number1619298262
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2010
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address320 Prosperity Dr, Knoxville, TN 37923-4709

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Southeastern Retina Associates Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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