NPIMap

Individual provider Active NPI

Chet M Gentry, MD

  • Family Medicine Physician
  • Cookeville, TN
National Provider Identifier
1851380406
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23607 Issued in TN
Practice address
3300 Williams Enterprise Dr
Cookeville, TN 38506-4280
Phone
(931) 528-9222
NPI assigned
Oct 17, 2005
Last updated
Jun 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23607 TN Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 23607 TN

Addresses

Primary practice location

3300 Williams Enterprise Dr
Cookeville, TN 38506-4280

Mailing address

3300 Williams Enterprise Dr
Cookeville, TN 38506-4280
Phone (931) 528-9222

Other identifiers 1

IdentifierTypeStateIssuer
3068762MedicaidTN

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
I20070129000606 TN Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Emergency Medicine 8527021641 Reassigns benefits to 1 organization
Practice locations: Cookeville, TN

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Family Care, PLLCGroup PAC ID 0042474942, 5 clinicians

Practice addresses (Care Compare)

3300 Williams Enterprise Dr
Suite 1
Cookeville, TN 38506-4224
Phone 9315289222112

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions22
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Family Care, PLLC Family Medicine CurrentSince May 1, 2012 Accepting new patients
Southeastern Emergency Care, PLLC Past Accepting new patients
Doolittle Emergency Physicians LLC Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
White County Physician Services Inc Family Medicine Past Accepting new patients
Cookeville Regional Medical Group, Inc PastSince Apr 8, 2019 Accepting new patients
Medical Observation Services LLC Past Accepting new patients
Cumberland Family Care, P.C. PastSince Mar 9, 2006 Accepting new patients
Volunteer Medical Group, P.C. Past Accepting new patients
Putnam County Rural Health Clinic, Inc Past Accepting new patients
Churchill Drive Emergency Physicians LLC Past Accepting new patients

Locations

3300 Williams Enterprise Dr
Cookeville, TN 38506
Phone (931) 528-9222

3300 Williams Enterprise Dr
Ste 1
Cookeville, TN 38506
Phone (931) 260-4770

Interoperability endpoints

  • Direct secure messaging: cgentry@innovativefamilycare.ssdirect.aprima.com
  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1851380406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WILLIAMS ENTERPRISE DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064280",
            "telephone_number": "931-528-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WILLIAMS ENTERPRISE DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064280",
            "telephone_number": "931-528-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "CHET",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "23607",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "23607",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068762",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.