NPIMap

Individual provider Active NPI

David P Guthrie, MD

  • Internal Medicine Physician
  • Dyersburg, TN
National Provider Identifier
1750375291
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD019073 Issued in TN
Practice address
1700 Woodlawn Ave
Dyersburg, TN 38024
Phone
(731) 287-4500
Fax
(731) 287-4804
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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 MD019073 TN Primary

Addresses

Primary practice location

1700 Woodlawn Ave
Dyersburg, TN 38024

Mailing address

1700 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 287-4500

Other identifiers 8

IdentifierTypeStateIssuer
0440228OtherUNITED HEALTHCARE
3051685MedicaidTN
0106846OtherTNBLUE CROSS
407113848OtherPALMETTO GBA
116447OtherBETTER HEALTH PLAN
7141OtherTLC MEMPHIS MANAGED CARE
8005288OtherCIGNA
5281070OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000236 TN Practitioner - Internal Medicine 0840241345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians

Practice addresses (Care Compare)

1629 Woodlawn Ave
Dyersburg, TN 38024-2025
Phone (731) 288-7250

Hospital & facility affiliations

  • Extendicare Home Health of West TN Home health agency, Dyersburg, TN, CCN 447284
  • Amedisys Home Health Care Home health agency, Jackson, TN, CCN 447278
  • Volunteer Home Care Home health agency, Humboldt, TN, CCN 447557
  • Adoration Home Health Martin Home health agency, Martin, TN, CCN 447225
  • Caris Healthcare Hospice, Bartlett, TN, CCN 441593
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Volunteer Community Hospital Hospital, Martin, TN, CCN 440061
  • Okeena Health and Rehabilitation Center LLC Nursing home, Dyersburg, TN, CCN 445446
  • Oakwood Community Living Center Nursing home, Dyersburg, TN, CCN 445335
  • Dyersburg Health and Rehabilitation Center Nursing home, Dyersburg, TN, CCN 445497

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD019073TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WT Medical Associates Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
WT Medical Associates CurrentSince Jun 1, 2018 Accepting new patients
Dyersburg Clinic Corp Past Accepting new patients
Dyersburg Nursing and Rehabilitation LLC Past Accepting new patients
CLC of Dyersburg, LLC Past Accepting new patients

Locations

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

1629 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 285-7311

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

Interoperability endpoints

  • Direct secure messaging: dguthrie18724@directepic.wth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1750375291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WOODLAWN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-287-4500",
            "fax_number": "731-287-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WOODLAWN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-287-4500",
            "fax_number": "731-287-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD019073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0440228",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3051685",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0106846",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "407113848",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETTER HEALTH PLAN",
            "identifier": "116447",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC MEMPHIS MANAGED CARE",
            "identifier": "7141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8005288",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5281070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.