Shawn N Gentry, M.D.
Individual provider Active NPI Family Medicine Physician · Columbia, TN
NPI 1891708012 · NPPES record last updated Jun 22, 2011
Key facts
- NPI
- 1891708012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 29588 (TN)
- Practice address
- 1605 Nashville Hwy
Suite 200
Columbia, TN 38401-2071 - Phone
- (931) 540-4210
- Fax
- (931) 380-1202
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northside Medical Professionals, P.C.
Practice addresses (Care Compare)
1605 Nashville Hwy
Suite 200
Columbia, TN 38401-2071
Phone (931) 540-4210
1605 Nashville Hwy
Suite 200
Columbia, TN 38401-2132
Hospital & facility affiliations
- NHC Homecare of Columbia
- Amedisys Home Health Care
- Maury Regional Home Services
- Maury Regional Hospital
- Marshall Medical Center
- Southern Tennessee Regional Health System Lawrence
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 31 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040318001633 | TN | Practitioner - Family Practice | 9436049707 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29588 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Medical Professionals, P.C. | Family Medicine | Current |
Accepting new patients |
| Southeastern Emergency Physicians LLC | Current |
Accepting new patients | |
| Northside Medical Professionals, P.C. | Family Medicine | Past |
Accepting new patients |
| Baptist Memorial Hospital-Tipton | Past | Accepting new patients |
Locations
1203 Trotwood Ave
Columbia, TN 38401
Phone (931) 388-1181
1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072
1605 Nashville Hwy
Ste 200
Columbia, TN 38401
Phone (931) 540-4210
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
2656 Highway 43 N
Lawrenceburg, TN 38464
Phone (931) 540-4210
641 E Commerce St
Lewisburg, TN 37091
Phone (931) 359-4555
103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HAJABA
- shawn.gentry@nmp.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29588 | TN | Yes |
Addresses
Primary practice location
1605 Nashville Hwy
Suite 200
Columbia, TN 38401-2071
Mailing address
1605 Nashville Hwy
Suite 200
Columbia, TN 38401-2071
Phone (931) 540-4210
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3107310 | Other | TN | BCBSTN |
| 3710087 | Medicaid | TN | |
| 3820281 | Medicaid | TN | |
| 3710089 | Medicaid | TN |
Other providers in Columbia, TN
- Devon Noelle Garren
- John G Garrett
- Megan Michelle Garrow
- Ariel Claire Gauthreaux
- Brandon Michael Gentry
- Christopher P Gertig
- Tiffany Cha Gesang
- Michele R Gibson-O'Grady
- Chantia Lee Gibson
- Danielle Gibson
All providers in Columbia, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.