Active NPI
Peerless Medical Associates
Doing business as Garvin K Chastain MD
- Non-Pharmacy Dispensing Site
- Cleveland, TN
National Provider Identifier
1215154109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- MD16293
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4439863 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- GARVIN K CHASTAIN MD
National Provider Directory
National Provider DirectoryLocations
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.