Active NPI
Chris L Gillespie, MD
- Internal Medicine Physician
- Germantown, TN
National Provider Identifier
1699776658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8810
- Practice address
- 1861 Old Towne LN
Germantown, TN 38139-6411 - Phone
- (901) 844-2500
- NPI assigned
- Aug 2, 2005
- Last updated
- Sep 4, 2014
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8810 | TN | Primary |
Addresses
Primary practice location
1861 Old Towne LN
Germantown, TN 38139-6411
Mailing address
2095 Exeter Rd
Suite 80-266
Germantown, TN 38138-3963
Phone (901) 844-1434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3178161 | Medicaid | TN |
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
- Internal Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1240 S Germantown Rd
Germantown, TN 38138-2226
Phone (901) 844-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8810 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris L Gillespie MD PLLC | Internal Medicine | Current | Accepting new patients |
| Johnson City Emergency Physicians, PC | Past | Accepting new patients | |
| Francis J. Fenaughty MD, P.C. | Past | Accepting new patients |
Locations
2095 Exeter Rd
#80266
Germantown, TN 38138
2095 Exeter Rd
Ste 80266
Germantown, TN 38138
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Germantown, TN
- NPI 1568863801
-
- Emergency Medicine Physician
- Germantown, TN
- NPI 1437141538
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1376557348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1699776658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2095 EXETER RD",
"address_2": "SUITE 80-266",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383963",
"telephone_number": "901-844-1434",
"fax_number": "901-844-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1861 OLD TOWNE LN",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381396411",
"telephone_number": "901-844-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "CHRIS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "8810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3178161",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.