Individual provider Active NPI

Tina Darnise Covington Gresham, M.D.

  • Cardiovascular Disease Physician
  • Murfreesboro, TN
National Provider Identifier
1972573038
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
24607 Issued in TN
Practice address
745 S Church St Ste 601a
Murfreesboro, TN 37130-4980
Phone
(615) 295-2411
Fax
(833) 902-3584
NPI assigned
Jan 23, 2006
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD024607 TN
Cardiovascular Disease Physician 207RC0000X 24607 TN Primary

Addresses

Primary practice location

745 S Church St Ste 601a
Murfreesboro, TN 37130-4980

Mailing address

745 S Church St Ste 601a
Murfreesboro, TN 37130-4980
Phone (615) 295-2411

Other identifiers 2

IdentifierTypeStateIssuer
Q028466MedicaidTN
3717981MedicaidTN

Other names 1

  • Tina Darnise Covington Former name

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
I20120330000406 TN Practitioner - Cardiovascular Disease (Cardiology) 8426047838 Reassigns benefits to 1 organization
Practice locations: Murfreesboro, TN

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Howard University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Medical Imaging, P.C.Group PAC ID 5799030706, 13 clinicians

Practice addresses (Care Compare)

1001 N Highland Ave
Murfreesboro, TN 37130-2450
Phone (615) 890-8999

745 S Church St
Suite 601a
Murfreesboro, TN 37130-4980
Phone (615) 295-2411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD024607TNMDSpecialist
24607TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Medical Imaging, P.C. CurrentSince Jul 1, 2018 Accepting new patients
Premier Mobile Health, Inc PastSince Jan 1, 2005 Accepting new patients
Gresham & Associates Cardiology Group, PLLC Specialist PastSince May 29, 2003 Accepting new patients

Locations

1604 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 899-6511

1001 N Highland Ave
Murfreesboro, TN 37130
Phone (615) 890-8999

537 Stonecrest Pkwy
Ste 102
Smyrna, TN 37167
Phone (615) 459-3500

Interoperability endpoints

  • Direct secure messaging: tina.gresham.1@25672.direct.athenahealth.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.

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1972573038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST STE 601A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304980",
            "telephone_number": "615-295-2411",
            "fax_number": "833-902-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST STE 601A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304980",
            "telephone_number": "615-295-2411",
            "fax_number": "833-902-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON GRESHAM",
        "first_name": "TINA",
        "middle_name": "DARNISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD024607",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "24607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028466",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3717981",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "COVINGTON",
            "middle_name": "DARNISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.