NPIMap

Organization Active NPI

Crossville Gynecology Associates, P.C.

  • Gynecology Physician
  • Crossville, TN
National Provider Identifier
1679784466
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
CROSSVILLE GYNECOLOGY ASSOCIATES, P.C.
Practice address
448 W Adams St
Crossville, TN 38555-4981
Phone
(931) 484-0042
Fax
(931) 456-2472
NPI assigned
May 24, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Michael Dale Perrigan, M.D.NPI 1609962828
Title
President
Phone
(931) 484-0042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X TN Primary

Addresses

Primary practice location

448 W Adams St
Crossville, TN 38555-4981

Mailing address

PO Box 2929
Crossville, TN 38557-2929
Phone (931) 484-0042

Other identifiers 3

IdentifierTypeStateIssuer
1609962828OtherTNNPI MICHAEL PERRIGAN
3021328MedicaidTN
1679784466OtherTNNPI CROSSVILLE GYNECOLOGY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3636/brand/1/csg/1/fhir/r4

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1679784466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2929",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385572929",
            "telephone_number": "931-484-0042",
            "fax_number": "931-456-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 W ADAMS ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554981",
            "telephone_number": "931-484-0042",
            "fax_number": "931-456-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSVILLE GYNECOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "PERRIGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-484-0042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MICHAEL PERRIGAN",
            "identifier": "1609962828",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3021328",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CROSSVILLE GYNECOLOGY",
            "identifier": "1679784466",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.