Active NPI
Guy David Ferguson, PA-C
- Physician Assistant
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3658
- Practice address
- 365 BMH Physicians Office BLDG
Maryville, TN 37804-5820 - Phone
- (865) 980-5364
- Fax
- (865) 980-5356
- NPI assigned
- Aug 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3658 | TN | Primary |
Addresses
Primary practice location
365 BMH Physicians Office BLDG
Maryville, TN 37804-5820
Mailing address
103 W Broadway Ave
Maryville, TN 37801-4703
Phone (865) 273-1752
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000
2976 Hunting Dr NW
Cleveland, TN 37312-2422
Phone (423) 641-4250
3405 Rhea County Hwy
Dayton, TN 37321-5817
Phone (423) 594-0444
4008 Hwy 411
Madisonville, TN 37354-1560
Phone (423) 427-2402
4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Maryville Pulmonary & Sleep Medicine, LLC | Past | Accepting new patients |
Locations
1874 Decatur Pike
Athens, TN 37303
Phone (423) 746-5973
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
1001 Highway 411 N
Etowah, TN 37331
Phone (423) 604-4664
910 New Highway 68
Sweetwater, TN 37874
Phone (423) 836-9304
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Pulmonary Disease Physician
- Philadelphia, PA
- NPI 1053620765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1285114892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W BROADWAY AVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378014703",
"telephone_number": "865-273-1752",
"fax_number": "865-273-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 BMH PHYSICIANS OFFICE BLDG",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045820",
"telephone_number": "865-980-5364",
"fax_number": "865-980-5356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "GUY",
"middle_name": "DAVID",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-14",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "3658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.