Carla L Gillespie, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24060 Issued in TN

Practice address

1120 E Weisgarber Rd
Suite 104
Knoxville, TN 37909-2685

Phone

(865) 909-0090

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Practice roles

Locations

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.

• Integrated Health Transitions, PLLC

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1922463470

  Internal Medicine, TN

  Medicare reassignment NPD
• Renuven Aco PLLC

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1568209872

  Internal Medicine, TN

  Medicare reassignment NPD
• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298

  Internal Medicine, TN

  Medicare reassignment NPD
• Statcare Inpatient LLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1477086981

  Internal Medicine

  NPD
• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1528378726

  Internal Medicine

  NPD
• Cordova Operating Group LLC

  • Skilled Nursing Facility
  • Cordova, TN
  • NPI 1205499415
  NPD (past)
• Hillcrest Healthcare Communities Inc

  • Skilled Nursing Facility
  • Knoxville, TN
  • NPI 1851352975
  NPD (past)
• NHC Healthcare-Holston Hills LLC

  • Skilled Nursing Facility
  • Knoxville, TN
  • NPI 1558342964
  NPD (past)
• Renuven Health Partners of Georgia PC

  • Internal Medicine Physician
  • Fort Oglethorpe, GA
  • NPI 1871196519

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1295762276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092604",
            "telephone_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E WEISGARBER RD",
            "address_2": "SUITE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092685",
            "telephone_number": "865-909-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "CARLA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "24060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "110211908",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084209",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaci Villela Giles, FNP
• Elizabeth Lafuze Gill, MA, CCC-SLP
• Jozlynn Rayn Gill
• Laura Gill
• Margaret Sniderman Gill, DNP,FNP,CNM
• James T Gillespie Jr., MD, PC
• Kelly Anne Gillette, LPC/MHSP
• Pamela J Gillette, CRNA
• Terina Gillette
• James Clifford Gilley, DPM

• All providers in Knoxville, TN
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.