Active NPI
Gina M Wyatt, M.D.
- Diagnostic Radiology Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD43570
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1504830 | Medicaid | TN | |
| 1505028 | Medicaid | TN | |
| 7100061080 | Medicaid | KY | |
| P00640522 | Other | RAILROAD MEDICARE | |
| 4185805 | Other | TN | BCBS |
| P00732359 | Other | TN | RAILROAD MEDICARE (CIC) |
| 4186061 | Other | TN | BCBS |
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
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Tristar Centennial Medical Center
- Tristar Skyline Medical Center
- Tristar Summit Medical Center
- Tristar Greenview Regional Hospital
- Tristar Horizon Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD43570 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Alliance Nashville Pet LLC | Current | Accepting new patients | |
| Middle Tennessee Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lebanon Pet Scan Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Tennessee Oncology,PLLC | Current | Accepting new patients | |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Tennessee Oncology PLLC | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Franklin, TN
- NPI 1083266761
-
- Diagnostic Radiology Physician
- Dickson, TN
- NPI 1770667289
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1861478489
-
- Diagnostic Radiology Physician
- Lebanon, TN
- NPI 1114551132
-
- Diagnostic Radiology Physician
- Murfreesboro, TN
- NPI 1316043524
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1811955917
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Clarksville, TN
- NPI 1043285539
-
- Radiology Clinic/Center
- Nashville, TN
- NPI 1285619270
-
- Radiation Oncology Physician
- Nashville, TN
- NPI 1164595070
-
- Radiology Clinic/Center
- Nashville, TN
- NPI 1932686318
-
- Vascular & Interventional Radiology Physician
- Nashville, TN
- NPI 1649256942
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Franklin, TN
- NPI 1326503749
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dickson, TN
- NPI 1871530832
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
-
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1295780476
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1871547703
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.