Jacob Gallaher, PA-C

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

4492 Issued in TN

Practice address

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Phone

(865) 524-1869

NPI assigned

Feb 22, 2021

Last updated

Feb 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sweetwater Hospital AssociationGroup PAC ID 6608773775, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sweetwater Hospital Association Hospital, Sweetwater, TN, CCN 440084

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Sweetwater Hospital Association

  dba Sweetwater Physician Group

  • Obstetrics & Gynecology Physician
  • Sweetwater, TN
  • NPI 1558995399

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Sweetwater Hospital Association

  dba Sweetwater Hospital Association Rural Health Clinic

  • Rural Health Clinic/Center
  • Sweetwater, TN
  • NPI 1205659711
  NPD

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

• Sweetwater Hospital Association

  • General Acute Care Hospital
  • Sweetwater, TN
  • NPI 1366441370
  Care Compare affiliation

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1063006922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BRENTWAY CIR APT 161",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091343",
            "telephone_number": "865-789-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-524-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAHER",
        "first_name": "JACOB",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "4492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah E Gales, FNP
• Tami Galik, PT
• Riley Gallagher, AUD
• Caren E Gallaher, MD
• Christopher C Gallaher, CPNP
• Martha Ann Gallaher, LCSW
• Christopher Paul Gallati, M.D.
• Hans Scott Galle
• Carlos Lucio Galli, B.B.A.,ONDAMED CERT.
• Gallian Medical, PLLC

• Neurological Surgery Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Neurological Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.