Individual provider Active NPI

Carol Winfred Guess, M.D.

  • Family Medicine Physician
  • Tiptonville, TN
National Provider Identifier
1992848816
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17158 Issued in TN
Practice address
710 Carl Perkins Parkway
Tiptonville, TN 38079-1305
Phone
(731) 253-6690
NPI assigned
Feb 14, 2007
Last updated
Dec 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD17158 TN Primary

Addresses

Primary practice location

710 Carl Perkins Parkway
Tiptonville, TN 38079-1305

Mailing address

710 Carl Perkins Parkway
Tiptonville, TN 38079
Phone (731) 253-6690

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
I20050422000433 TN Practitioner - General Practice 4880632587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens of Lake County for Health Care IncGroup PAC ID 6507052073, shared by 4 NPIs, 9 clinicians

Practice addresses (Care Compare)

130 N Main St
Ridgely, TN 38080-1317
Phone (731) 264-5518

710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Phone (731) 253-6692

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17158TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens of Lake County for Health Care Inc CurrentSince Jul 10, 2013 Accepting new patients
Citizens of Lake County for Health Care Inc CurrentSince Jul 10, 2013 Accepting new patients
Horizons Health Services Past Accepting new patients
Citizens of Lake County for Health Care, Inc Past Accepting new patients
Central Aroostook Psychiatric Services LLC Past Accepting new patients

Locations

130 N Main St
Ridgely, TN 38080
Phone (731) 264-5518

317 Cleveland St
Ripley, TN 38063
Phone (731) 221-1804

215 S Court St
Tiptonville, TN 38079
Phone (731) 253-6690

710 Carl Perkins Pkwy
Tiptonville, TN 38079
Phone (731) 253-6690

321 E Harper St
Troy, TN 38260
Phone (731) 442-0956

Interoperability endpoints

  • Direct secure messaging: carol.guess.p1@direct.clchc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 3

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1992848816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CARL PERKINS PARKWAY",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "38079",
            "telephone_number": "731-253-6690",
            "fax_number": "731-253-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CARL PERKINS PARKWAY",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791305",
            "telephone_number": "731-253-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUESS",
        "first_name": "CAROL",
        "middle_name": "WINFRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD17158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiptonville, TN

Sources for this page

Verify at the official NPI Registry.