Charles Gerard Durand, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD16248 Issued in TN

Practice address

312 High St
Maryville, TN 37804-5833

Phone

(865) 379-2345

Fax

(865) 379-2170

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1275536260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 HIGH ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045833",
            "telephone_number": "865-379-2345",
            "fax_number": "865-379-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HIGH ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045833",
            "telephone_number": "865-379-2345",
            "fax_number": "865-379-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAND",
        "first_name": "CHARLES",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-10-27",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TN",
            "license": "MD16248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meaghan Catherine Dullea, PT, DPT
• Marcella Horn Dunaway, PHD
• Carrie Beth Clark Duncanson, ATC
• Stephen John Dunkley, FNP-C
• Lawrence Edward Dunn, LMFT
• Julie Ross Durand, M.D.
• Larry J Durand, DMD
• Ashley Faye Durbin, LMT
• Roland T Dykes
• Bonnie Jo Dziesinski, PA

• Rheumatology Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Rheumatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.