NPIMap

Individual provider Active NPI

Shawn N Gentry, M.D.

  • Family Medicine Physician
  • Columbia, TN
National Provider Identifier
1891708012
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29588 Issued in 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
Last updated
Jun 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29588 TN Primary

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

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
I20040318001633 TN Practitioner - Family Practice 9436049707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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.Group PAC ID 8224224357, 20 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions31
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29588TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Medical Professionals, P.C. Family Medicine CurrentSince Dec 1, 2010 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Dec 15, 2007 Accepting new patients
Northside Medical Professionals, P.C. Family Medicine PastSince Feb 25, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAJABA
  • Direct secure messaging: shawn.gentry@nmp.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1891708012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 NASHVILLE HWY",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012071",
            "telephone_number": "931-540-4210",
            "fax_number": "931-380-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 NASHVILLE HWY",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012071",
            "telephone_number": "931-540-4210",
            "fax_number": "931-380-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "SHAWN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "29588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.