Individual provider Active NPI

Richard P Gannaway, M.D.

  • Specialist
  • Clarksville, TN
National Provider Identifier
1952307415
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000019272 Issued in TN
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000442 TN Practitioner - Ophthalmology 6305908294 Reassigns benefits to 1 organization

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
Clarksville Ophthalmology P.C.Group PAC ID 6103867965, 4 clinicians

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 100Reported as group
Quality
100
Improvement activities
40
Cost
71.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery529

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000019272TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Ophthalmology P.C. Specialist CurrentSince Aug 1, 2000 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: richard.gannaway.p1@direct.cvilleophthalmology.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.