Active NPI
Richard P Gannaway, M.D.
- Specialist
- Clarksville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD0000019272
- Practice address
- 141 Chesapeake Lane # 300
Clarksville, TN 37040 - Phone
- (931) 552-6830
- Fax
- (931) 552-2847
- NPI assigned
- Jun 21, 2005
- Last updated
- Dec 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000019272 | TN | Primary |
Addresses
Primary practice location
141 Chesapeake Lane # 300
Clarksville, TN 37040
Mailing address
141 Chesapeake Lane # 300
Clarksville, TN 37040
Phone (931) 552-6830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Tennessee, HSC, College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
141 Chesapeake LN
Suite 300
Clarksville, TN 37040-5243
Phone (931) 552-6830
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.54 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 71.79
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 529 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000019272 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Ophthalmology P.C. | Specialist | Current | Accepting new patients |
| Wesley & Klippenstein, PC | Past | Accepting new patients | |
| Clarksville Eye Surgery Center | Specialist | Past | Accepting new patients |
Locations
141 Chesapeake Ln
Ste 200
Clarksville, TN 37040
Phone (931) 245-1940
141 Chesapeake Ln
Ste 300
Clarksville, TN 37040
Phone (931) 552-6830
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- richard.gannaway.p1@direct.cvilleophthalmology.nextgenshare.com
- richard.gannaway.p2@direct.cvilleophthalmology.nextgenshare.com
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Clarksville, TN
- NPI 1144482753
Specialist
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Nashville, TN
- NPI 1023025475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1952307415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 CHESAPEAKE LANE # 300",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37040",
"telephone_number": "931-552-6830",
"fax_number": "931-552-2847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 CHESAPEAKE LANE # 300",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37040",
"telephone_number": "931-552-6830",
"fax_number": "931-552-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANNAWAY",
"first_name": "RICHARD",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD0000019272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.