Individual provider Active NPI

Robert Bernard Gaston Jr., MD

  • Family Medicine Physician
  • Hermitage, TN
National Provider Identifier
1003897380
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 10309 Issued in TN
Practice address
3939 Central Pike
Hermitage, TN 37076
Phone
(615) 883-2331
Fax
(615) 391-1785
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 10309 TN Primary

Addresses

Primary practice location

3939 Central Pike
Hermitage, TN 37076

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other identifiers 1

IdentifierTypeStateIssuer
3176920MedicaidTN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001155 TN Practitioner - General PracticePractitioner - Family Practice 1254526130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Nashville, TN, CCN 447206
  • Suncrest Home Health Home health agency, Nashville, TN, CCN 447403
  • Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 10309TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Sep 30, 2019 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Sep 30, 2019 Accepting new patients

Locations

300 Steam Plant Rd
Gallatin, TN 37066
Phone (615) 451-1602

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3939 Central Pike
Ste 100
Hermitage, TN 37076
Phone (615) 883-2331

3939 Central Pike
Hermitage, TN 37076
Phone (615) 391-1515

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • AL HMO D-SNP
  • KY PPO
  • MS PPO
  • TN PPO C-SNP
  • KY PPO C-SNP
  • TN PPO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • MS PPO D-SNP
  • AL HMO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • MS PPO C-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef

Interoperability endpoints

  • Direct secure messaging: robert.gaston@ahp.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1003897380",
    "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": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 CENTRAL PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-883-2331",
            "fax_number": "615-391-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "ROBERT",
        "middle_name": "BERNARD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD 10309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3176920",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.