Active NPI
Caroline L Gannon, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Franklin, TN
National Provider Identifier
1003855537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM0000000632
- Practice address
- 100 Covey Dr
Suite 309
Franklin, TN 37067-5665 - Phone
- (615) 790-3323
- Fax
- (615) 790-6331
- NPI assigned
- Jun 6, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM0000000632 | TN | Primary |
Addresses
Primary practice location
100 Covey Dr
Suite 309
Franklin, TN 37067-5665
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3354139 | Medicaid | TN | |
| 6089017 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
329 Murfreesboro Pike
Nashville, TN 37210-2834
Phone (877) 674-1211
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 290 |
| Removal or shaving of skin growth | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPM0000000632 | TN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Podiatry Care PLLC | Current | Accepting new patients | |
| Aria Dental Care PC | Past | Accepting new patients |
Locations
329 Murfreesboro Pike
Nashville, TN 37210
Phone (615) 244-6900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Overland Park, KS
- NPI 1942977632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003855537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 BUSINESS PARK CIR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370723132",
"telephone_number": "615-851-6033",
"fax_number": "615-851-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COVEY DR",
"address_2": "SUITE 309",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370675665",
"telephone_number": "615-790-3323",
"fax_number": "615-790-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANNON",
"first_name": "CAROLINE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TN",
"license": "DPM0000000632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3354139",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6089017",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.