Tracy G Gartman, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN00000683 Issued in TN

Practice address

625 E 12TH St
South Pittsburg, TN 37380-1630

Phone

(423) 648-4460

Fax

(423) 648-4461

NPI assigned

Jun 16, 2006

Last updated

Nov 25, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utm of Georgia Physicians LLCGroup PAC ID 5991138307, 14 clinicians

Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Utm of Georgia Physicians LLC

  • Family Medicine Physician
  • Fort Oglethorpe, GA
  • NPI 1255893038
  Medicare reassignment Care Compare group NPD
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Rural Health Clinic/Center
  • South Pittsburg, TN
  • NPI 1427781129

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1073557211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 SHALLOWFORD RD",
            "address_2": "101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211892",
            "telephone_number": "423-648-4500",
            "fax_number": "423-855-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 12TH ST",
            "city": "SOUTH PITTSBURG",
            "state": "TN",
            "postal_code": "373801630",
            "telephone_number": "423-648-4460",
            "fax_number": "423-648-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTMAN",
        "first_name": "TRACY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN00000683",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN131306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Everhart Dutton, MSW
• Eyear Optical, Inc.
• Kristin M Flake, NP
• Joshua Fogleman
• John Robert Fox, MD
• Thomas Charles Helm, DDS
• Katie Elizabeth Henson, DPT
• Shana T Hilson
• Mandy Howard
• HQM of South Pittsburg, LLC (Rivermont Care & Rehabiltation Center)

• Nurse Practitioner in South Pittsburg, TN
• Providers in South Pittsburg, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.