Active NPI
Donald D. Gold Jr., M.D.
- Psychiatry Physician
- Paris, TN
National Provider Identifier
1457397135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 38412
- Practice address
- 401 Tyson Ave
Paris, TN 38242-4821 - Phone
- (731) 642-4422
- Fax
- (731) 642-0068
- NPI assigned
- Jun 21, 2006
- Last updated
- Aug 5, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 38412 | KY | Primary |
| Psychiatry Physician | 2084P0800X | MD009580 | TN |
Addresses
Primary practice location
401 Tyson Ave
Paris, TN 38242-4821
Mailing address
P.O. Box 731
Paris, TN 38242
Phone (731) 642-4422
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3723326 | Medicaid | TN | |
| 64053168 | Medicaid | KY | |
| 09014277 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD009580 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Medicine, PLLC | Psychiatry | Past | Accepting new patients |
| State of Tennessee State F & a Payroll | Past | Accepting new patients | |
| Merit Behavioral Associates, Inc | Psychiatry | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Paris, TN
- NPI 1366620643
-
dba Memphis Mental Health Institute
- Psychiatric Hospital
- Memphis, TN
- NPI 1457435893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1457397135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 731",
"city": "PARIS",
"state": "TN",
"postal_code": "38242",
"telephone_number": "731-642-4422",
"fax_number": "731-642-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 TYSON AVE",
"city": "PARIS",
"state": "TN",
"postal_code": "382424821",
"telephone_number": "731-642-4422",
"fax_number": "731-642-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "DONALD",
"middle_name": "D.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "38412",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD009580",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3723326",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64053168",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09014277",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.