Individual provider Active NPI

Gershon Y Perry, M.D., F.A.C.C

  • Cardiovascular Disease Physician
  • Chattanooga, TN
National Provider Identifier
1457325730
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD026032 Issued in TN
Practice address
979 E 3Rd St
Suite a 350
Chattanooga, TN 37403-2136
Phone
(423) 778-7156
Fax
(423) 634-8050
NPI assigned
Feb 14, 2006
Last updated
May 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD026032 TN Primary

Addresses

Primary practice location

979 E 3Rd St
Suite a 350
Chattanooga, TN 37403-2136

Mailing address

PO Box 21731
Chattanooga, TN 37424
Phone (423) 778-7156

Other identifiers 1

IdentifierTypeStateIssuer
3088102MedicaidTN

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
I20120612000346 TN Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608030226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

979 E 3Rd St
Suite A350
Chattanooga, TN 37403-3343
Phone (423) 778-7156

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD026032TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Imaging LLC CurrentSince Jan 1, 2024 Accepting new patients
Arrhythmia and Cardiology of PastSince Apr 1, 2000 Accepting new patients

Locations

5833 Aedc Rd
Estill Springs, TN 37330
Phone (931) 392-4169

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1457325730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21731",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37424",
            "telephone_number": "423-778-7156",
            "fax_number": "423-634-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "SUITE A 350",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-778-7156",
            "fax_number": "423-634-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "GERSHON",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD026032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088102",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.