Individual provider Active NPI

Justin B Gerth, MD

  • Surgery Physician
  • Murfreesboro, TN
National Provider Identifier
1184814774
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
66645 Issued in TN
Practice address
1800 Medical Center Pkwy Ste 400&410
Murfreesboro, TN 37129-2567
Phone
(615) 867-1940
Fax
(615) 867-1941
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 30748 AL
Surgery Physician 208600000X 66645 TN Primary

Addresses

Primary practice location

1800 Medical Center Pkwy Ste 400&410
Murfreesboro, TN 37129-2567

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-5180

Other practice location 1

52 Medical Park Dr E
Suite 308
Birmingham, AL 35235-3430
Phone (205) 838-3025

Other identifiers 1

IdentifierTypeStateIssuer
1077356MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110614000499 AL Practitioner - General Surgery 0941487219 Reassigns benefits to 2 organizations
I20230509001418 TN Practitioner - General Surgery 0941487219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Alabama College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

1800 Medical Ctr Pkwy
Suite 400
Murfreesboro, TN 37129-2567
Phone (615) 284-2015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30748ALMDSurgery Physician
66645TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince May 3, 2023 Accepting new patients
Birmingham Minimally Invasive Surgery PC Surgery CurrentSince Jul 1, 2011 Accepting new patients
DHP of Alabama PC Surgery CurrentSince Dec 1, 2017 Accepting new patients
Cardiovascular Diseases Group, PLLC Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

48 Medical Park Dr E
Ste 1
Birmingham, AL 35235
Phone (205) 833-6907

48 Medical Park Dr E
Ste 150
Birmingham, AL 35235
Phone (205) 396-2225

1800 Medical Center Pkwy
Ste 400410
Murfreesboro, TN 37129
Phone (615) 867-1940

1800 Medical Center Pkwy
Ste 400
Murfreesboro, TN 37129
Phone (615) 396-6800

300 20th Ave N
Fl 9
Nashville, TN 37203

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

Organizations & group practices 4

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 1

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1184814774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER PKWY STE 400&410",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292567",
            "telephone_number": "615-867-1940",
            "fax_number": "615-867-1941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Medical Park Dr E",
            "address_2": "Suite 308",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353430",
            "country_code": "US",
            "telephone_number": "205-838-3025",
            "fax_number": "205-838-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERTH",
        "first_name": "JUSTIN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "30748",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "66645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1077356",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.