Individual provider Active NPI

Nadege Tacha Gunn, M.D.

  • Gastroenterology Physician
  • Waco, TX
National Provider Identifier
1902822281
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R4710 Issued in TX
Practice address
6600 Fish Pond Rd Ste 103
Waco, TX 76710-2582
Phone
(254) 294-4780
Fax
(254) 294-4781
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 29135 SC
Gastroenterology Physician 207RG0100X 0101258366 VA
Gastroenterology Physician 207RG0100X 074062 GA
Gastroenterology Physician 207RG0100X R4710 TX Primary

Addresses

Primary practice location

6600 Fish Pond Rd Ste 103
Waco, TX 76710-2582

Mailing address

6600 Fish Pond Rd Ste 103
Waco, TX 76710-2582
Phone (254) 294-4780

Other practice location 1

5100 Franklin Ave
Waco, TX 76710-6922
Phone (254) 865-2166

Other practice location 2

1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 865-2166

Other identifiers 1

IdentifierTypeStateIssuer
C06778OtherVAGROUP PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ngunn@ch.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150821013776 VA Practitioner - Gastroenterology 4880849959 Reassigns benefits to 1 organization
I20171206001650 TX Practitioner - Gastroenterology 4880849959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Florida College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coryell County Memorial Hospital AuthorityGroup PAC ID 7719886282, 39 clinicians

Practice addresses (Care Compare)

1507 W Main St
Gatesville, TX 76528-1098
Phone (254) 865-8251

Hospital & facility affiliations

  • Coryell Memorial Hospital Hospital, Gatesville, TX, CCN 451379
  • Ascension Providence Hospital, Waco, TX, CCN 450042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
074062GAMDGastroenterology Physician
29135SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC Gastroenterology CurrentSince Jun 1, 2017 Accepting new patients
Coryell County Memorial Hospital Authority Current Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jun 1, 2017 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Jul 7, 2022 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Jul 7, 2022 Accepting new patients
Central Texas Radiological Associates PA PastSince Dec 21, 2021 Accepting new patients
Bon Secours-Richmond Community Hospital LLC Past Accepting new patients
Bon Secours-St. Mary'S Hospital of Richmond, Inc. Past Accepting new patients
Bon Secours-St. Mary'S Hospital of Richmond, Inc. Past Accepting new patients

Locations

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

Interoperability endpoints

  • Direct secure messaging: ngunn@ch.cernerdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD
  • Direct secure messaging: drngunn@cmhs.securechart.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1902822281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD STE 103",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102582",
            "telephone_number": "254-294-4780",
            "fax_number": "254-294-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD STE 103",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102582",
            "telephone_number": "254-294-4780",
            "fax_number": "254-294-4781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767106922",
            "country_code": "US",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-0626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1507 W Main St",
            "address_purpose": "LOCATION",
            "city": "Gatesville",
            "state": "TX",
            "postal_code": "765281024",
            "country_code": "US",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-0626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNN",
        "first_name": "NADEGE",
        "middle_name": "TACHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "29135",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101258366",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "074062",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "R4710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngunn@ch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1507 W Main St",
            "city": "Gatesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765281024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.