NPIMap

Individual provider Active NPI

Ephraim B Gammada, MD, INTERNAL MEDICIN

  • Internal Medicine Physician
  • Winchester, TN
National Provider Identifier
1174501027
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000026560 Issued in TN
Practice address
1509 Old Cowan Rd
Winchester, TN 37398-1913
Phone
(931) 962-2540
Fax
(931) 962-1400
NPI assigned
Jan 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000026560 TN Primary

Addresses

Primary practice location

1509 Old Cowan Rd
Winchester, TN 37398-1913

Mailing address

1509 Old Cowan Rd
Winchester, TN 37398-1913
Phone (931) 962-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060314000652 TN Practitioner - Internal Medicine 0345257671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1509 Old Cowan Rd
Winchester, TN 37398-1913
Phone (931) 962-1004

Hospital & facility affiliations

  • Amedisys Home Care Home health agency, Winchester, TN, CCN 447238
  • Enhabit Home Health Home health agency, Winchester, TN, CCN 447108
  • Amedisys Hospice, an Adventa Company Hospice, Chattanooga, TN, CCN 441533
  • Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058
  • Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy30
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision19
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000026560TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin County Diagnostics, LLC PastSince Apr 1, 2010 Accepting new patients
Lincoln Medical Center Past Accepting new patients
Elk River Health & Nursing Center of Winchester LLC Past Accepting new patients
Southern Tennessee Medical Center LLC Past Accepting new patients
Elk River Physicians Group, PLLC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEBACA/Endpoint/BEBACA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elk River Health & Nursing Center of Winchester, LLCWinchester, TN, CCN 445319 Skilled nursing facility Adp of the SNF Feb 28, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 6

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": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1174501027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 OLD COWAN RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981913",
            "telephone_number": "931-962-2540",
            "fax_number": "931-962-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 OLD COWAN RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981913",
            "telephone_number": "931-962-2540",
            "fax_number": "931-962-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMADA",
        "first_name": "EPHRAIM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD, INTERNAL MEDICIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000026560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.