Individual provider Active NPI

Gina M Wyatt, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1598898371
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD43570 Issued in TN
Practice address
210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone
(615) 312-0600
Fax
(615) 320-3259
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD43570 TN Primary

Addresses

Primary practice location

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620

Mailing address

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

Other identifiers 7

IdentifierTypeStateIssuer
1504830MedicaidTN
1505028MedicaidTN
7100061080MedicaidKY
P00640522OtherRAILROAD MEDICARE
4185805OtherTNBCBS
P00732359OtherTNRAILROAD MEDICARE (CIC)
4186061OtherTNBCBS

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
I20080620000424 TN Practitioner - Diagnostic Radiology 3173623345 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Middle Tennessee Imaging LLCGroup PAC ID 5698743706, 121 clinicians
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians

Practice addresses (Care Compare)

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

222 22ND Ave N
Nashville, TN 37203-1852
Phone (615) 312-0600

28 White Bridge Pike
Suite 111
Nashville, TN 37205-1466
Phone (615) 356-3999

28 White Bridge Rd
Nashville, TN 37205-1466
Phone (615) 356-3999

3901 Central Pike
Suite 154
Hermitage, TN 37076-3485
Phone (615) 316-3000

4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 222-2111

505 Chickasaw TRL
Goodlettsville, TN 37072-3336
Phone (615) 312-0600

510 Recovery Rd
Nashville, TN 37211-4874
Phone (615) 312-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD43570TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Alliance Nashville Pet LLC CurrentSince Jan 1, 2024 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Dec 19, 2024 Accepting new patients
Lebanon Pet Scan Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Tennessee Oncology,PLLC CurrentSince Feb 6, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Jul 16, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Aug 21, 2016 Accepting new patients
Tennessee Oncology PLLC Diagnostic Radiology CurrentSince Feb 6, 2025 Accepting new patients
Tennessee Oncology,PLLC Diagnostic Radiology Past Accepting new patients
Middle Tennessee Imaging, LLC Past Accepting new patients
Tennessee Oncology, PLLC Diagnostic Radiology Past Accepting new patients
Radiology Alliance CT Diagnostic Radiology Past Accepting new patients

Locations (25 of 83)

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

3754 Murfreesboro Pike
Ste 102
Antioch, TN 37013
Phone (615) 467-4642

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

789 Old Hickory Blvd
Brentwood, TN 37027
Phone (615) 555-6870

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

1032 McCallie Ave
Fl 1
Chattanooga, TN 37403
Phone (423) 708-6495

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403
Phone (423) 693-2400

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

776 Weatherly Dr
Ste A
Clarksville, TN 37043
Phone (931) 906-2004

980 Professional Park Dr
Ste E
Clarksville, TN 37040
Phone (615) 327-2001

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

3310 Aspen Grove Dr
Ste 101
Franklin, TN 37067
Phone (615) 771-0171

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1598898371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD43570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1504830",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505028",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100061080",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00640522",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4185805",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE (CIC)",
            "identifier": "P00732359",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4186061",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.