Individual provider Active NPI

Dannie Joe Gentry Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Ludington, MI
National Provider Identifier
1982605648
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301073931 Issued in MI
Practice address
7 Atkinson Dr Ste 200
Ludington, MI 49431-1917
Phone
(231) 843-6767
Fax
(231) 843-6522
NPI assigned
Aug 3, 2005
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301073931 MI Primary

Addresses

Primary practice location

7 Atkinson Dr Ste 200
Ludington, MI 49431-1917

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790

Other practice location 1

1615 Michigan Ave
Baldwin, MI 49304-7984
Phone (231) 745-4624

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address dgentry2267@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Direct Messaging Address dannie.gentry.p1@direct.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070205000538 MI Practitioner - Obstetrics/Gynecology 4880696830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Family Health CareGroup PAC ID 1153215413, 35 clinicians

Practice addresses (Care Compare)

1 Atkinson Dr
Ludington, MI 49431-1906
Phone (231) 843-2591

1615 Michigan Ave
Baldwin, MI 49304-7984
Phone (231) 876-6527

7 Atkinson Dr
Ludington, MI 49431-1953

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301073931MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Family Health Care CurrentSince Jul 1, 2008 Accepting new patients
Baldwin Family Health Care CurrentSince Jul 1, 2008 Accepting new patients
Baldwin Family Health Care Obstetrics & Gynecology Current Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Dec 1, 2015 Accepting new patients
Spectrum Health Primary Care Partners Obstetrics & Gynecology Past Accepting new patients

Locations

1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

250 Nelson Rd
Ste 1
Ludington, MI 49431
Phone (231) 843-6557

7 Atkinson Dr
Ste 200
Ludington, MI 49431
Phone (231) 843-2664

Interoperability endpoints

  • Direct secure messaging: dannie.gentry.p1@direct.bfhc.nextgenshare.com
  • Direct secure messaging: dannie.gentry.p1@direct.nextgenshare.com
  • Direct secure messaging: dgentry2267@epic00.shdirect.org
  • Direct secure messaging: dgentryjr2267@epic00.corewelldirect.org

Organizations & group practices 6

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 1

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1982605648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ATKINSON DR STE 200",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311917",
            "telephone_number": "231-843-6767",
            "fax_number": "231-843-6522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Baldwin",
            "state": "MI",
            "postal_code": "493047984",
            "country_code": "US",
            "telephone_number": "231-745-4624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "DANNIE",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301073931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgentry2267@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "7 Atkinson Dr Ste 200",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494311917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7 Atkinson Dr Ste 200",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494311917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dannie.gentry.p1@direct.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1615 Michigan Ave",
            "city": "Baldwin",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493047984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.