Gerald D. Spangler Jr.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6125 Issued in TN

Practice address

9537 Mobile Dr
Knoxville, TN 37923-2753

Phone

(931) 217-7679

NPI assigned

Feb 28, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Guiding Star Mental Health

  • Community/Behavioral Health Agency
  • Antioch, TN
  • NPI 1518716414

  Mental Health

  Medicare reassignment NPD
• Mind Body Beauty

  • Psychiatric/Mental Health Nurse Practitioner
  • Wartburg, TN
  • NPI 1245002690
  Medicare reassignment NPD

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1306603170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9537 MOBILE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379232753",
            "telephone_number": "931-217-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9537 MOBILE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379232753",
            "telephone_number": "931-217-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "GERALD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "6125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6125",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "6125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan W Sowell, M.D.
• Mary Barnett Sowell, RN, ANP-BC
• Jennifer E. Spadafora, PT
• Michael Andrew Spadafora, P.T.
• Douglas M Spaeth, MD
• Sydney Spangler
• Brittonya Sparks, FNP-BC
• Katharine Ann Sparks, M.S. CCC-SLP
• Kelci Sharese Sparks
• Lea Ann Sparks, RN

• Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.