Kristopher Eugene Gulish, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1164 Issued in TN

Practice address

1015 Kelley Dr
Suite 200
Paris, TN 38242-5819

Phone

(731) 644-2271

Fax

(731) 644-3980

NPI assigned

Jul 8, 2005

Last updated

Sep 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
• Baptist Memorial Hospital - Carroll County Hospital, Huntingdon, TN, CCN 440016

Merit-based Incentive Payment System (MIPS)

Final score

95.74 of 100Reported as apm

Quality

85.23

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/
• Direct secure messaging: kgulish@hcmcclinics.gwaydirect.com

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.

• West Tennessee Medical Group Inc

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1053615955
  Medicare reassignment Care Compare group NPD
• Henry County Medical Center

  • Hospitalist Physician
  • Paris, TN
  • NPI 1073765475
  Medicare reassignment
• Henry County Medical Center

  dba Medical Arts Rural Health Clinic

  • Rural Health Clinic/Center
  • Paris, TN
  • NPI 1588275317
  NPD
• West Tennessee Healthcare Henry County

  dba Anesthesia

  • Certified Registered Nurse Anesthetist
  • Paris, TN
  • NPI 1316393176
  NPD
• Jackson Surgical Associates. PA

  • Surgery Physician
  • Jackson, TN
  • NPI 1932154713
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital-Huntingdon

  dba Baptist Memorial Hospital - Carroll County

  • General Acute Care Hospital
  • Huntingdon, TN
  • NPI 1710941356
  Care Compare affiliation
• West Tennessee Healthcare Henry County

  dba West Tennessee Healthcare County Hospital

  • General Acute Care Hospital
  • Paris, TN
  • NPI 1497750244
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1740288349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 KELLEY DR",
            "address_2": "SUITE 200",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425819",
            "telephone_number": "731-644-2271",
            "fax_number": "731-644-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 KELLEY DR",
            "address_2": "SUITE 200",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425819",
            "telephone_number": "731-644-2271",
            "fax_number": "731-644-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULISH",
        "first_name": "KRISTOPHER",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3662542",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP   NPI",
            "identifier": "1124048541",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740288349",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "4090494",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "4090498",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrzej Marek Greziak, PT
• Walter P. Griffey III, M.D.
• Garry L. Grimes, D.D.S.
• Jo Anne Grimes, PA-S
• Christopher E Guess, CRNA
• Deidre Gardner Hamilton
• Robert Walter Hamm, M.D.
• Jason Louis Harper, M.D.
• Rebecca Harper, RNFA
• Michael Joe Harris, ATC

• Medical Physician Assistant in Paris, TN
• Providers in Paris, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.

Verify at the official NPI Registry.