Active NPI
Gary Keith Lovelady, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Tullahoma, TN
National Provider Identifier
1619057528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- MD0000025892
- Practice address
- 1801 N Washington St
Suite 300
Tullahoma, TN 37388-8245 - Phone
- (931) 455-1511
- Fax
- (931) 455-3001
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD0000025892 | TN | Primary |
Addresses
Primary practice location
1801 N Washington St
Suite 300
Tullahoma, TN 37388-8245
Mailing address
1801 N Washington St
Suite 300
Tullahoma, TN 37388-8245
Phone (931) 455-1511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3006786 | Other | TN | BLUE CROSS OF TENNESSEE |
| 3086005 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000025892 | TN | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffee Medical Group LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Manchester, TN
- NPI 1700192028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1619057528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 N WASHINGTON ST",
"address_2": "SUITE 300",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373888245",
"telephone_number": "931-455-1511",
"fax_number": "931-455-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N WASHINGTON ST",
"address_2": "SUITE 300",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373888245",
"telephone_number": "931-455-1511",
"fax_number": "931-455-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELADY",
"first_name": "GARY",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "TN",
"license": "MD0000025892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TENNESSEE",
"identifier": "3006786",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3086005",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.