Individual provider Active NPI

Tom Tracey Gallaher, MD

  • Plastic and Reconstructive Surgery Physician
  • Powell, TN
National Provider Identifier
1760477707
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
35852 Issued in TN
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

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3000222MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070802000707 TN Practitioner - Plastic and Reconstructive Surgery 6002907177 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
MD35852TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Mar 20, 2007 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.

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

Verify at the official NPI Registry.