Individual provider Active NPI

Gary Wayne Yawn Jr., M.D.

  • Interventional Cardiology Physician
  • Hendersonville, TN
National Provider Identifier
1013179860
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
55661 Issued in TN
Practice address
353 New Shackle Island Rd Ste 300C
Hendersonville, TN 37075-2384
Phone
(615) 824-0043
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 73889 GA
Interventional Cardiology Physician 207RI0011X 55661 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd Ste 300C
Hendersonville, TN 37075-2384

Mailing address

353 New Shackle Island Rd Ste 300C
Hendersonville, TN 37075-2384
Phone (615) 824-0043

Other practice location 1

300 Steam Plant Rd Ste 310
Gallatin, TN 37066-3089
Phone (615) 451-9200

Other identifiers 2

IdentifierTypeStateIssuer
003163121AMedicaidGA
13587267OtherGACAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gary.yawnjr@hca1.eclinicaldirectplus.com

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
I20170905000609 TN Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular DiseasePractitioner - Interventional Cardiology 0749591980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Interventional Cardiology, Peripheral Vascular Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

300 Steam Plant Rd
Suite 300
Gallatin, TN 37066-3089
Phone (615) 451-9200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73889GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices LLC Current Accepting new patients
Sumner Physician Practices, LLC Interventional Cardiology CurrentSince May 15, 2025 Accepting new patients
Sumner Physician Practices LLC CurrentSince May 15, 2025 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jan 1, 2024 Accepting new patients
Saint Thomas Cardiology Consultants, PC Past Accepting new patients
Sumner Physician Practices LLC Past Accepting new patients

Locations

107 Health Care Dr
Bldg 3
Carthage, TN 37030
Phone (615) 452-3250

300 Steam Plant Rd
Ste 310
Gallatin, TN 37066
Phone (615) 328-3730

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

300 Steam Plant Rd
Ste 300
Gallatin, TN 37066
Phone (615) 451-9200

300 Steam Plant Rd
Ste 270
Gallatin, TN 37066
Phone (615) 230-6435

500 Church St
Hartsville, TN 37074
Phone (615) 374-2221

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

934 S Broadway St
Ste C
Portland, TN 37148
Phone (615) 323-7432

Networks

  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • KY PPO
  • MS PPO
  • MS PPO C-SNP
  • AL HMO D-SNP
  • KY PPO C-SNP
  • TN PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • TN PPO C-SNP
  • AL HMO
  • MS PPO D-SNP

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7b9c3187-d5a9-4f6c-ab6d-6c3b4f2632bc/
  • Direct secure messaging: gary.yawn.1@7654.direct.athenahealth.com
  • Direct secure messaging: gary.yawnjr@hca1.eclinicaldirectplus.com
  • Direct secure messaging: gary.yawn.2@7654.direct.athenahealth.com

Organizations & group practices 6

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 5

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1013179860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 300C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752384",
            "telephone_number": "615-824-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 300C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752384",
            "telephone_number": "615-824-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Steam Plant Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370663089",
            "country_code": "US",
            "telephone_number": "615-451-9200",
            "fax_number": "615-451-1246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAWN",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "73889",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "55661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003163121A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13587267",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gary.yawnjr@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "353 New Shackle Island Rd Ste 300C",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370752384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.