Gerald G Osborn, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2003015148 Issued in MO

Practice address

130 Independence LN
La Follette, TN 37766

Phone

(423) 462-1705

Fax

(423) 566-3718

NPI assigned

Dec 13, 2005

Last updated

Aug 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Psychiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health of East Tennessee IncGroup PAC ID 7618887803, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• MS PPO
• MS PPO C-SNP
• MS PPO D-SNP

Interoperability endpoints

• Direct secure messaging: gerald.osborn.p1@direct.chetn.nextgenshare.com

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.

• Community Health of East Tennessee, Inc

  • Federally Qualified Health Center (FQHC)
  • La Follette, TN
  • NPI 1750382164
  Medicare reassignment Care Compare group NPD
• Michigan State University Dept of Psychiatry

  • Clinical Psychologist
  • East Lansing, MI
  • NPI 1952337545

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1023093937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663073",
            "telephone_number": "423-562-1705",
            "fax_number": "423-566-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "37766",
            "telephone_number": "423-462-1705",
            "fax_number": "423-566-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "GERALD",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2003015148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000489",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512315",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208810002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NP Services P.L.L.C.
• Christopher Ryan Nunley, BSN, RN
• Christina Mae Nunn, LPN
• Michael Patrick O'Brien, M.D.
• Aleona A Oculam, M.D.
• Oxygen and Sleep Associates, Inc.
• Brian Eugene Parrott
• Melissa Ann Passafiume, PTA
• Suzanne M Pearman, D.O.
• Sandra Kay Perkins, COTA/L

• Psychiatry Physician in La Follette, TN
• Providers in La Follette, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.

Verify at the official NPI Registry.