Organization Active NPI

John N. Gernert

Doing business as Cleveland Foot Clinic

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, TN
National Provider Identifier
1629408703
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM0000000198 Issued in TN
Legal business name
JOHN N. GERNERT
Doing business as
Cleveland Foot Clinic
Practice address
105 Keith St NW
Cleveland, TN 37311-1704
Phone
(423) 476-3773
Fax
(423) 476-8529
NPI assigned
Nov 26, 2013
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Ms. Tanna Green
Title
Office Manager/Am
Phone
(423) 476-3773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X DPM0000000198 TN Primary

Addresses

Primary practice location

105 Keith St NW
Cleveland, TN 37311-1704

Mailing address

105 Keith St NW
Cleveland, TN 37311-1704
Phone (423) 476-3773

Other identifiers 5

IdentifierTypeStateIssuer
1629408703OtherTNNPI
4354855OtherMEDICARE
103G703357OtherMEDICARE GROUP #/PTAN
1194867580OtherTNNPI
Q008266MedicaidTN

Other names 1

  • Cleveland Foot Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131220000855 TN Part B Supplier - Clinic/Group Practice 3577790419 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1629408703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111704",
            "telephone_number": "423-476-3773",
            "fax_number": "423-476-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111704",
            "telephone_number": "423-476-3773",
            "fax_number": "423-476-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN N. GERNERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER/AM",
        "authorized_official_telephone_number": "423-476-3773",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM0000000198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629408703",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4354855",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #/PTAN",
            "identifier": "103G703357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194867580",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008266",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cleveland Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.