Individual provider Active NPI

Carter Smith Gerard, MD

  • Neurological Surgery Physician
  • Knoxville, TN
National Provider Identifier
1336450105
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
63272 Issued in TN
Practice address
1932 Alcoa Hwy Ste 360
Knoxville, TN 37920-1509
Phone
(865) 524-1869
Fax
(865) 544-6533
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 125-057590 IL
Neurological Surgery Physician 207T00000X MD60640413 WA
Neurological Surgery Physician 207T00000X 63272 TN Primary

Addresses

Primary practice location

1932 Alcoa Hwy Ste 360
Knoxville, TN 37920-1509

Mailing address

1932 Alcoa Hwy Ste 360
Knoxville, TN 37920-1509
Phone (865) 524-1869

Other identifiers 1

IdentifierTypeStateIssuer
1336450105MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgerard1030870@wm.providencedirect.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723002152 TN Practitioner - Neurosurgery 1355638933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Louisville School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates PCGroup PAC ID 6002888716, 46 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite 360
Knoxville, TN 37920-1509
Phone (865) 524-1869

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion74
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125-057590ILMDNeurological Surgery Physician
63272TNMDNeurological Surgery Physician
MD60640413WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Group of Knoxville PLLC Current Accepting new patients
Neurosurgical Associates, PC Neurological Surgery CurrentSince Jun 7, 2021 Accepting new patients

Locations

1932 Alcoa Hwy
Ste 360
Knoxville, TN 37920
Phone (865) 546-2663

9314 Park West Blvd
Ste 200
Knoxville, TN 37923
Phone (865) 694-0577

Interoperability endpoints

  • Direct secure messaging: cartergerard@neurosurge.allscriptsdirect.net
  • Direct secure messaging: cgerard1030870@wm.providencedirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1336450105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY STE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201509",
            "telephone_number": "865-524-1869",
            "fax_number": "865-544-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY STE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201509",
            "telephone_number": "865-524-1869",
            "fax_number": "865-544-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARD",
        "first_name": "CARTER",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "125-057590",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD60640413",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "63272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336450105",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgerard1030870@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 17th Ave Ste 540",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.