Gary P Gesualdi, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

28104 Issued in TN

Practice address

2229 Olan Mills Dr
Chattanooga, TN 37421

Phone

(423) 296-4224

Fax

(423) 296-4230

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cleveland Medical Clinic Inc

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
  • NPI 1457350951
  NPD (past)
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Family Medicine Physician
  • Chattanooga, TN
  • NPI 1437194222
  NPD (past)
• Prolex Medical Services, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Chattanooga, TN
  • NPI 1902942485
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629110457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 OLAN MILLS DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-296-4224",
            "fax_number": "423-296-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 OLAN MILLS DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-296-4224",
            "fax_number": "423-296-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESUALDI",
        "first_name": "GARY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TN",
            "license": "28104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Sawyer Gerges
• Nettie Jean Gerstle, REGISTERED NURSE
• Kathryn Mae Gervasi, RBT
• Andrea McNalley Gerwin, PHARMD
• Brett Dennis Gerwin, M.D.
• Get Into Shape MD (Peak Primary Care)
• Latifah Geter
• Andrew Getner
• Jenna Gettys
• GG Transportation LLC

• Adult Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Adult Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.