Organization Active NPI

Peerless Medical Associates

Doing business as Garvin K Chastain MD

  • Non-Pharmacy Dispensing Site
  • Cleveland, TN
National Provider Identifier
1215154109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD16293 Issued in TN
Legal business name
PEERLESS MEDICAL ASSOCIATES
Doing business as
Garvin K Chastain MD
Practice address
1060 Peerless Crossing Dr
Ste 200
Cleveland, TN 37312
Phone
(423) 479-4165
Fax
(423) 478-1884
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cathy Faulkner
Title
Administrator
Phone
(423) 479-4165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X MD16293 TN Primary

Addresses

Primary practice location

1060 Peerless Crossing Dr
Ste 200
Cleveland, TN 37312

Mailing address

1060 Peerless Crossing Dr
Ste 200
Cleveland, TN 37312

Other identifiers 1

IdentifierTypeStateIssuer
4439863OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • GARVIN K CHASTAIN MD Doing business as

National Provider Directory

National Provider Directory

Locations

1060 Peerless Xing NW
Ste 200
Cleveland, TN 37312
Phone (423) 479-4165

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215154109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS CROSSING DR",
            "address_2": "STE 200",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS CROSSING DR",
            "address_2": "STE 200",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37312",
            "telephone_number": "423-479-4165",
            "fax_number": "423-478-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEERLESS MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-479-4165"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "TN",
            "license": "MD16293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4439863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARVIN K CHASTAIN MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.