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

Peter Donald Sershon, MD

Individual provider Urology Physician · NPI 1104813138

Peter Donald Sershon, MD is an Urology in Maryville, Tennessee. Graduated from Medical College of Ohio in 1989, 37 years ago. Practices with Blount Memorial Physician Group Inc, a 249-clinician group and accepts Medicare assignment. Licensed in Minnesota and Tennessee.

Years since qualifying
37
Trained at
Medical College of Ohio
Licensed in
MN, TN
In the registry since
2005
Specialties on file
2
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

425 Bmh Physicians Ofc Bldg
Maryville, TN 37804-5807
Phone: (865) 980-5260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 60706 (TN)
Urology Physician Taxonomy 208800000X · Licence 33642 (MN)

Record details

NPI number1104813138
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2005
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 1989 (37 years in practice)
Group practice Blount Memorial Physician Group Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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