Individual provider Active NPI

Valerie Smith-Gamble, M.D.

  • Geriatric Psychiatry Physician
  • Murfreesboro, TN
National Provider Identifier
1265483101
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
24978 Issued in TN
Practice address
3400 Lebanon Rd
Murfreesboro, TN 37129
Phone
(615) 867-6000
Fax
(615) 225-5381
NPI assigned
May 15, 2006
Last updated
Aug 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 24978 TN Primary

Addresses

Primary practice location

3400 Lebanon Rd
Murfreesboro, TN 37129

Mailing address

1453 Hope Way
Murfreesboro, TN 37129-3140
Phone (615) 893-9390

Other practice location 1

Roudebush VA 1481 w. 10th st.
indianapolis, IN 46202
Phone (317) 554-0000

Other identifiers 1

IdentifierTypeStateIssuer
01050162AOtherINPHYSICIAN LICENSE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824000750 TN Practitioner - Psychiatry 2860633682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutherford County Primary CareGroup PAC ID 6305819483, 28 clinicians

Practice addresses (Care Compare)

1453 Hope Way
Murfreesboro, TN 37129-3140
Phone (615) 893-9390

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rutherford County Primary Care CurrentSince Sep 14, 2020 Accepting new patients
Indiana University Psychiatric Associates, Inc. PastSince Jul 17, 2007 Accepting new patients

Locations

1453 Hope Way
Murfreesboro, TN 37129
Phone (615) 893-9390

745 S Church St
Ste 601
Murfreesboro, TN 37130
Phone (615) 767-9954

Interoperability endpoints

  • Direct secure messaging: valerie.smithgamble@pchc.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1265483101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 HOPE WAY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293140",
            "telephone_number": "615-893-9390",
            "fax_number": "615-893-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LEBANON RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-867-6000",
            "fax_number": "615-225-5381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Roudebush VA 1481 w. 10th st.",
            "address_purpose": "LOCATION",
            "city": "indianapolis",
            "state": "IN",
            "postal_code": "46202",
            "country_code": "US",
            "telephone_number": "317-554-0000",
            "fax_number": "317-554-0056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH-GAMBLE",
        "first_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TN",
            "license": "24978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "01050162A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.