Active NPI
Jeffrey J Gleason, MD
- Obstetrics & Gynecology Physician
- Cookeville, TN
National Provider Identifier
1760473284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD0000023618
- Practice address
- 145 W. 4TH Street
Suite 201
Cookeville, TN 38501 - Phone
- (931) 783-2500
- NPI assigned
- Nov 3, 2005
- Last updated
- Jan 19, 2015
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD0000023618 | TN | Primary |
Addresses
Primary practice location
145 W. 4TH Street
Suite 201
Cookeville, TN 38501
Mailing address
127 N. Oak Avenue
Suite D
Cookeville, TN 38501
Phone (931) 783-5857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30966021 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000023618 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Regional Medical Center | Past | Accepting new patients | |
| Cookeville Regional Medical Group, Inc | Past | Accepting new patients | |
| American Anesthesiology Consultants PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
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.
-
- Specialist
- Cookeville, TN
- NPI 1700044278
-
dba Cookeville Regional Physicians
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1760473284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N. OAK AVENUE",
"address_2": "SUITE D",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38501",
"telephone_number": "931-783-5857",
"fax_number": "931-526-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W. 4TH STREET",
"address_2": "SUITE 201",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38501",
"telephone_number": "931-783-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "JEFFREY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD0000023618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30966021",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.