Individual provider Active NPI

Guy David Ferguson, PA-C

  • Physician Assistant
  • Maryville, TN
National Provider Identifier
1285114892
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3658 Issued in TN
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

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210002456 TN Practitioner - Physician Assistant 3779827209 Reassigns benefits to 3 organizations

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
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

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

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 25, 2018 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 27, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 25, 2018 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 27, 2025 Accepting new patients
Maryville Pulmonary & Sleep Medicine, LLC PastSince Dec 5, 2021 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.

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

Verify at the official NPI Registry.