Active NPI
Gershon Y Perry, M.D., F.A.C.C
- Cardiovascular Disease Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD026032
- 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, 2014
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3088102 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD026032 | TN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Imaging LLC | Current | Accepting new patients | |
| Arrhythmia and Cardiology of | Past | 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.
-
- Specialist
- Chattanooga, TN
- NPI 1194087833
-
- Clinical Cardiac Electrophysiology Physician
- Chattanooga, TN
- NPI 1356473441
-
- Diagnostic Radiology Physician
- Estill Springs, TN
- NPI 1285815100
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.
- 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.