Active NPI
Randy A Gaw, MD
- Neurology Physician
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD00000015827
- Practice address
- 145 W 4TH St Ste 201
Cookeville, TN 38501-2476 - Phone
- (931) 783-4901
- Fax
- (931) 783-4991
- NPI assigned
- Jul 10, 2006
- Last updated
- Feb 1, 2023
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD00000015827 | TN | Primary |
Addresses
Primary practice location
145 W 4TH St Ste 201
Cookeville, TN 38501-2476
Mailing address
140 W 7TH St
Cookeville, TN 38501-1726
Phone (931) 783-5582
Other practice location 1
128 N Whitney Ave
Cookeville, TN 38501-2493
Phone (931) 783-4600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1531621 | Medicaid | TN | |
| 4351476 | Other | TN | BCBS |
| 7100434210 | Medicaid | KY |
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
- Neurology
- Education
- University of Tennessee, HSC, College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 W 4TH St
Suite 201
Cookeville, TN 38501-2476
Phone (931) 783-2143
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.99 of 100
- Quality
- 58.34
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 78.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00000015827 | TN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Cookeville Regional Medical Group, Inc | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Past | Accepting new patients |
Locations
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901
127 N Oak Ave
#D
Cookeville, TN 38501
128 N Whitney Ave
Cookeville, TN 38501
Phone (931) 528-7662
140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582
145 W 4th St
Ste 201
Cookeville, TN 38501
Phone (931) 372-7716
145 W 4th St
Ste 203
Cookeville, TN 38501
Phone (931) 528-2884
228 W 4th St
Ste 301
Cookeville, TN 38501
Phone (931) 526-4349
406 N Whitney Ave
Ste 5
Cookeville, TN 38501
Phone (931) 783-2904
Interoperability endpoints
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
- randy.gaw.1@10383.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
-
dba Cookeville Regional Physicians
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
-
dba Cookeville Regional Medical Center Inpatient Rehabilitation Center
- Rehabilitation Hospital Unit
- Cookeville, TN
- NPI 1639293483
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
-
dba Cumberland Medical Center
- General Acute Care Hospital
- Crossville, TN
- NPI 1871596403
-
dba Ascension Saint Thomas River Park
- General Acute Care Hospital
- McMinnville, TN
- NPI 1518346469
-
dba Ascension Saint Thomas River Park
- Ambulatory Surgical Clinic/Center
- McMinnville, TN
- NPI 1558742304
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1669406500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 W 7TH ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011726",
"telephone_number": "931-783-5582",
"fax_number": "931-526-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W 4TH ST STE 201",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012476",
"telephone_number": "931-783-4901",
"fax_number": "931-783-4991"
}
],
"practiceLocations": [
{
"address_1": "128 N Whitney Ave",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385012493",
"country_code": "US",
"telephone_number": "931-783-4600",
"fax_number": "931-783-4699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAW",
"first_name": "RANDY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "MD00000015827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1531621",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4351476",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100434210",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.