Gateway Healthcare, PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

1879 Issued in TN

Legal business name

GATEWAY HEALTHCARE, PC

Practice address

1574 Medical Center Pkwy
Suite 104
Murfreesboro, TN 37129-3760

Phone

(615) 225-2070

NPI assigned

Nov 1, 2016

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Seth Weathersby, PA-CNPI 1881626778

Title

Owner/Provider

Phone

(615) 225-2070

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Seth Weathersby, PA

  • Physician Assistant
  • Murfreesboro, TN
  • NPI 1881626778
  Medicare reassignment Care Compare group Authorized official
• Lynce Stalnaker Bullard

  • Family Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1912760042
  Medicare reassignment Care Compare group NPD
• Sara Burgess Imamura, FNP-C

  • Family Nurse Practitioner
  • Smyrna, TN
  • NPI 1982327433
  Medicare reassignment Care Compare group NPD
• Nadine Kosanovich, FNP-BC

  • Family Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1548046709
  Medicare reassignment Care Compare group NPD
• Ericka Bird

  • Physician Assistant
  • Murfreesboro, TN
  • NPI 1487496857
  Medicare reassignment Care Compare group
• Araceli Milena Lopez Davenport, PA-C

  • Physician Assistant
  • Brentwood, TN
  • NPI 1316653538
  Medicare reassignment Care Compare group
• Amber Hicks, PA

  • Physician Assistant
  • Nashville, TN
  • NPI 1932781499
  Medicare reassignment Care Compare group
• Christina Kazanas, PA

  • Medical Physician Assistant
  • Murfreesboro, TN
  • NPI 1437837473
  Medicare reassignment Care Compare group
• Julia Alexandra Kilgore

  • Physician Assistant
  • Murfreesboro, TN
  • NPI 1871175646
  Medicare reassignment Care Compare group
• Payal Patel, PA-C

  • Physician Assistant
  • Murfreesboro, TN
  • NPI 1255174967
  Medicare reassignment Care Compare group
• Bradley Kyle Rodell

  • Physician Assistant
  • Murfreesboro, TN
  • NPI 1427515782
  Medicare reassignment Care Compare group
• Monica Rowe, PA

  • Physician Assistant
  • Murfreesboro, TN
  • NPI 1508632787
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1770035214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 MEDICAL CENTER PKWY",
            "address_2": "SUITE 104",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293760",
            "telephone_number": "615-225-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 MEDICAL CENTER PKWY",
            "address_2": "SUITE 104",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293760",
            "telephone_number": "615-225-2070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 New Salem Hwy",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371287037",
            "country_code": "US",
            "telephone_number": "615-225-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3266 Memorial Blvd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "37129",
            "country_code": "US",
            "telephone_number": "615-900-3515",
            "fax_number": "615-900-3463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5607 Franklin Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371283547",
            "country_code": "US",
            "telephone_number": "615-962-7727",
            "fax_number": "615-963-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 S Church St Ste B",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371277218",
            "country_code": "US",
            "telephone_number": "615-639-5515",
            "fax_number": "615-639-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GATEWAY HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "WEATHERSBY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "615-225-2070",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TN",
            "license": "1879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE DEPT OF HEALTH",
            "identifier": "1013",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blane Scott Gaspard, CST,CSFA,CSA
• Jaxson James Gassid
• John Henry Gassler III, PT, GCS
• Gateway Family Dentistry Sedation and Implant PLLC
• Gateway Family Dentistry Sedation and Implant PLLC
• Gateway Primary Care LLC
• Vickie Gatlin, ANP
• Hannah Grace Gauthier
• GC Ventures 1, LLC (Modern Acupuncture Murfreesboro)
• Michael Gebhardt

• Urgent Care Clinic/Center in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Urgent Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.