Get Into Shape MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GET INTO SHAPE MD

Doing business as

Peak Primary Care

Practice address

5803 Lee Hwy Ste 101
Chattanooga, TN 37421-3547

Phone

(423) 541-2438

Fax

(423) 541-2984

NPI assigned

Jul 16, 2019

Organization subpart

No

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

Authorized official

Name

Casey Sharp, CCMA, RMA

Title

Owner

Phone

(423) 541-2438

Specialties & licenses 1

Addresses

Other names 1

• Peak Primary Care Doing business as

Locations

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1083266381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 LEE HWY STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213547",
            "telephone_number": "423-541-2438",
            "fax_number": "423-541-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 LEE HWY STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213547",
            "telephone_number": "423-541-2438",
            "fax_number": "423-541-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GET INTO SHAPE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-541-2438",
        "authorized_official_credential": "CCMA, RMA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nettie Jean Gerstle, REGISTERED NURSE
• Kathryn Mae Gervasi, RBT
• Andrea McNalley Gerwin, PHARMD
• Brett Dennis Gerwin, M.D.
• Gary P Gesualdi, MD
• Latifah Geter
• Andrew Getner
• Jenna Gettys
• GG Transportation LLC
• Farrokh Ghamgosar, MD

• Primary Care Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.