Geriatric Essentials, PC

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

APN013215 Issued in TN

Legal business name

GERIATRIC ESSENTIALS, PC

Practice address

804 Scotsman Trce
Dyersburg, TN 38024-2910

Phone

(731) 571-8808

Fax

(731) 214-1816

NPI assigned

Mar 3, 2008

Last updated

Sep 1, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Brian HughesNPI 1144490467

Title

Owner/Operator

Phone

(731) 571-8808

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Brian Hughes, RN GNP-BC

  • Gerontology Nurse Practitioner
  • Dyersburg, TN
  • NPI 1144490467
  Authorized official Same address or phone
• Heather Ann Heinrich, PH.D.

  • Psychologist
  • Dyersburg, TN
  • NPI 1316145386
  NPD
• Stefanie Lea Gray, APRN-BC

  • Family Nurse Practitioner
  • Martin, TN
  • NPI 1891908117
  NPD (past)
• Jeffrey Steven Hampton, FNP

  • Family Nurse Practitioner
  • Halls, TN
  • NPI 1275702672
  NPD (past)
• Eddie A Manley, APRN

  • Nurse Practitioner
  • Oak Grove, KY
  • NPI 1538482773

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1003086307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTSMAN TRCE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242910",
            "telephone_number": "731-571-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SCOTSMAN TRCE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242910",
            "telephone_number": "731-571-8808",
            "fax_number": "731-214-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Cook St Ste G",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380241899",
            "country_code": "US",
            "telephone_number": "731-571-8808",
            "fax_number": "731-214-1816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12181 Us Hwy 51",
            "address_purpose": "LOCATION",
            "city": "Halls",
            "state": "TN",
            "postal_code": "38040",
            "country_code": "US",
            "telephone_number": "731-571-8808",
            "fax_number": "731-214-1816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 W Farthing St",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "KY",
            "postal_code": "420662900",
            "country_code": "US",
            "telephone_number": "731-571-8808",
            "fax_number": "731-214-1816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Truman Blvd",
            "address_purpose": "LOCATION",
            "city": "Caruthersville",
            "state": "MO",
            "postal_code": "638301261",
            "country_code": "US",
            "telephone_number": "731-571-8808",
            "fax_number": "731-214-1816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERIATRIC ESSENTIALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "731-571-8808"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TN",
            "license": "APN013215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q012269",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506654",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dbhughes1966@gmail.com",
            "affiliation": "N",
            "address_1": "1950 Cook St Ste G",
            "city": "Dyersburg",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380241899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Marie Gardner, FNP
• Brooke Lacy Garner
• Bradley Edward Gatlin
• Jeremy Wayne Gatlin, D.C.
• Jill Christine Gatlin, D.C.
• Harry Robert Gilley, LCSW
• Grace Family Practice Clinic, P.C.
• Ashten Granner
• Matthew Joseph Granner
• Daniel P Green, MD

• Gerontology Clinical Nurse Specialist in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Gerontology Clinical Nurse Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.