Individual provider Active NPI

John Norman Gernert, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, TN
National Provider Identifier
1194867580
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
198 Issued in TN
Practice address
105 Keith St NW
Cleveland, TN 37311-1704
Phone
(423) 476-3773
Fax
(423) 476-8529
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM000000198 TN
Foot & Ankle Surgery Podiatrist 213ES0103X 198 TN Primary

Addresses

Primary practice location

105 Keith St NW
Cleveland, TN 37311-1704

Mailing address

105 Keith St NW Ste 3
Cleveland, TN 37311-1704
Phone (423) 476-3773

Other identifiers 5

IdentifierTypeStateIssuer
1194867580MedicaidTN
103G703357OtherTNPTAN
1629408703MedicaidTN
3350757OtherTNPTAN
T61072OtherTNUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000206 TN Practitioner - Podiatry 4688728629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Keith St NW
Cleveland, TN 37311-1704
Phone (423) 476-3773

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue115
Removal of skin lesions1-10
Removal of nail tissue108
Removal or shaving of skin growth52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM000000198TNMDPodiatrist
198TNMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
John N. Gernert Foot & Ankle Surgery CurrentSince Jul 19, 2013 Accepting new patients
Tennessee Foot & Ankle Clinic, Inc. Podiatrist CurrentSince Jun 1, 2009 Accepting new patients
Tennessee Preferred Medical, LLC PastSince Nov 14, 2012 Accepting new patients
Premier Health, LLC PastSince Apr 24, 2013 Accepting new patients

Locations

105 Keith St NW
Cleveland, TN 37311
Phone (423) 476-3773

105 Keith St NW
Ste 3
Cleveland, TN 37311

125 Town Creek Rd E
Ste 3
Lenoir City, TN 37772
Phone (865) 986-2700

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1194867580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KEITH ST NW STE 3",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111704",
            "telephone_number": "423-476-3773",
            "fax_number": "423-476-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111704",
            "telephone_number": "423-476-3773",
            "fax_number": "423-476-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERNERT",
        "first_name": "JOHN",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM000000198",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194867580",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "103G703357",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629408703",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "3350757",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T61072",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.