Individual provider Active NPI

Chris L Gillespie, MD

  • Internal Medicine Physician
  • Germantown, TN
National Provider Identifier
1699776658
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8810 Issued in TN
Practice address
1861 Old Towne LN
Germantown, TN 38139-6411
Phone
(901) 844-2500
NPI assigned
Aug 2, 2005
Last updated
Sep 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3178161MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001004 TN Practitioner - Internal Medicine 3476542499 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
8810TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chris L Gillespie MD PLLC Internal Medicine CurrentSince Aug 19, 2014 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.

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

Verify at the official NPI Registry.