Active NPI
Gerald Elmer Stark
- Prosthetist
- Signal Mountain, TN
National Provider Identifier
1184501991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PR00000000014
- Practice address
- 326 N Palisades Dr
Signal Mountain, TN 37377-3041 - Phone
- (423) 889-1590
- NPI assigned
- Aug 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | ORT0000000013 | TN | |
| Prosthetist | 224P00000X | PR00000000014 | TN | Primary |
Addresses
Primary practice location
326 N Palisades Dr
Signal Mountain, TN 37377-3041
Mailing address
326 N Palisades Dr
Signal Mountain, TN 37377-3041
Phone (423) 889-1590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ORT0000000013 | TN | MD | Orthotist |
| PR00000000014 | TN | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1184501991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 N PALISADES DR",
"city": "SIGNAL MOUNTAIN",
"state": "TN",
"postal_code": "373773041",
"telephone_number": "423-889-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 N PALISADES DR",
"city": "SIGNAL MOUNTAIN",
"state": "TN",
"postal_code": "373773041",
"telephone_number": "423-889-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "GERALD",
"middle_name": "ELMER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TN",
"license": "ORT0000000013",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TN",
"license": "PR00000000014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Signal Mountain, TN
- Signal Mountain Pharmacy, LLC.
- Signal Mountain Speech and Myo Therapy Services PLLC
- Kelly Ann Smith, FNP, AANP
- Robert Tucker Spalding Jr., DPM
- Christopher S St. Charles, M.D.
- Waldemar Charles August Sternbergh Jr., MD
- Kelli Strubberg, LPTA
- Mauren Stephanie Suker, CCC-SLP
- Rebecca Guess Susong, MD, MPH
- Christine Tapocsi, RDN, LDN, CLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.