Active NPI
Charles E Gaines, DO
- Psychiatry Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO01281
- Practice address
- 403 N State of Franklin Rd
Johnson City, TN 37604-6034 - Phone
- (423) 431-7013
- Fax
- (423) 431-7130
- NPI assigned
- Apr 26, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO01281 | TN | Primary |
Addresses
Primary practice location
403 N State of Franklin Rd
Johnson City, TN 37604-6034
Mailing address
403 N State of Franklin Rd
Johnson City, TN 37604-6034
Phone (423) 431-7013
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3306064 | Medicaid | TN | |
| 4109591 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110404000645 | KY | Practitioner - Psychiatry | 1951381938 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Appalachian Regional Healthcare Inc
Practice addresses (Care Compare)
100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600
110 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 487-7902
181 Roy Campbell Dr
Hazard, KY 41701-9407
Phone (606) 439-1316
Hospital & facility affiliations
- Hazard Arh Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.15 of 100
- Quality
- 47.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO01281 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc | Psychiatry | Current | Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Mountain States Health Alliance | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients |
Locations
100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600
181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316
Interoperability endpoints
- charlesgaines@arh.medalliesdirect.net
- cgaines55836@direct.kdhealth.us
Organizations & group practices 6
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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
KY
-
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
Psychiatry
-
- Multi-Specialty Clinic/Center
- Hazard, KY
- NPI 1558431346
-
- Psychiatric Hospital Unit
- Kingsport, TN
- NPI 1417050980
-
- Psychiatric Hospital Unit
- Hazard, KY
- NPI 1730172057
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Multi-Specialty Clinic/Center
- Hazard, KY
- NPI 1558431346
Hospital
-
- General Acute Care Hospital
- Hazard, KY
- NPI 1609869916
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649236753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 N STATE OF FRANKLIN RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046034",
"telephone_number": "423-431-7013",
"fax_number": "423-431-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 N STATE OF FRANKLIN RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046034",
"telephone_number": "423-431-7013",
"fax_number": "423-431-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "CHARLES",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "DO01281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3306064",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4109591",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
- 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.