Active NPI
Tom Tracey Gallaher, MD
- Plastic and Reconstructive Surgery Physician
- Powell, TN
National Provider Identifier
1760477707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 35852
- Practice address
- 7560 Dannaher Dr Ste 150
Powell, TN 37849-4038 - Phone
- (865) 671-3888
- Fax
- (865) 671-4911
- NPI assigned
- Sep 15, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD35852 | TN | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 35852 | TN | Primary |
Addresses
Primary practice location
7560 Dannaher Dr Ste 150
Powell, TN 37849-4038
Mailing address
7560 Dannaher Dr Ste 150
Powell, TN 37849-4038
Phone (865) 671-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000222 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tgallaher@directaddress.net | Health Information Exchange (HIE) |
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
- Plastic and Reconstructive Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7560 Dannaher Dr
Suite 150
Powell, TN 37849-4038
Phone (865) 671-3888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD35852 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earl Edward Breazeale, Jr., MD, PC | Specialist | Past | Accepting new patients |
| Complete Surgical Care PLLC | Specialist | Past | Accepting new patients |
| Allergy Associates, P.a. | Specialist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Plastic and Reconstructive Surgery Physician
- Powell, TN
- NPI 1912124777
-
- Specialist
- Knoxville, TN
- NPI 1073508347
-
- Specialist
- Knoxville, TN
- NPI 1497740757
-
- Specialist
- Knoxville, TN
- NPI 1912992272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1760477707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7560 DANNAHER DR STE 150",
"city": "POWELL",
"state": "TN",
"postal_code": "378494038",
"telephone_number": "865-671-3888",
"fax_number": "865-671-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7560 DANNAHER DR STE 150",
"city": "POWELL",
"state": "TN",
"postal_code": "378494038",
"telephone_number": "865-671-3888",
"fax_number": "865-671-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAHER",
"first_name": "TOM",
"middle_name": "TRACEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD35852",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TN",
"license": "35852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000222",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tgallaher@directaddress.net",
"affiliation": "N",
"endpointDescription": "Direct Address EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "xml",
"address_1": "7560 Dannaher Dr Ste 150",
"city": "Powell",
"state": "TN",
"country_code": "US",
"postal_code": "378494038",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.