Active NPI
Gregory Paul Gamache, D.C.
- Chiropractor
- Soddy Daisy, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1885
- Practice address
- 8301 Dayton Pike
Soddy Daisy, TN 37379-4202 - Phone
- (423) 842-2828
- Fax
- (423) 842-1688
- NPI assigned
- Oct 25, 2006
- Last updated
- Oct 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1885 | TN | Primary |
Addresses
Primary practice location
8301 Dayton Pike
Soddy Daisy, TN 37379-4202
Mailing address
8301 Dayton Pike
Soddy Daisy, TN 37379-4202
Phone (423) 842-2828
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4051204 | Other | TN | BLUE CROSS BLUE SHIELD |
| 7582414 | Other | TN | AETNA ID |
| P00030062 | Other | TN | PALMETTO MEDICARE RAILROA |
| 0624970 | Other | TN | CIGNA ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1304 N Main St
La Fayette, GA 30728-2137
Phone (706) 639-3333
1304 N Main St
La Fayette, GA 30728-9998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1885 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ford Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
| Back2Health Chiropractic TN LLC | Past | Accepting new patients |
Locations
1304 N Main St
La Fayette, GA 30728
Phone (706) 639-3333
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- La Fayette, GA
- NPI 1053885715
-
dba Total Health Chiropractic
- Clinic/Center
- Soddy Daisy, TN
- NPI 1124847850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1376627455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 DAYTON PIKE",
"city": "SODDY DAISY",
"state": "TN",
"postal_code": "373794202",
"telephone_number": "423-842-2828",
"fax_number": "423-842-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 DAYTON PIKE",
"city": "SODDY DAISY",
"state": "TN",
"postal_code": "373794202",
"telephone_number": "423-842-2828",
"fax_number": "423-842-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMACHE",
"first_name": "GREGORY",
"middle_name": "PAUL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "1885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4051204",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "7582414",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO MEDICARE RAILROA",
"identifier": "P00030062",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "0624970",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Soddy Daisy, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.