MR. GERALD STEVEN MEREDITH (NPI# 1255362828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255362828 |
| Entity Type | Individual |
| Full Name | MR. GERALD STEVEN MEREDITH |
| Credential | PMH-NP |
| Practice Address |
James H. Quillen/vamc Corner of Sidney and Lamont Mountain Home TN 37684 |
| Mailing Address |
4514 Brookridge Dr Kingsport TN 37664-2106 |
| Practice Telephone | 4239261171 |
| Practice Fax Number | 4239793529 |
| Mailing Telephone | 4232889693 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0000064034 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093749780 | Gerald Meredith | Dentist | 500 Ala Moana Blvd, Suite 7-300, Honolulu, HI 96813-4920 | 2006-07-10 |
| Street Address |
JAMES H. QUILLEN/VAMC CORNER OF SIDNEY AND LAMONT |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336221720 | Kelly Lynn Koder | Audiologist | James H. Quillen/vamc, Corner of Sidney & Lamont St, Mountain Home, TN 37684 | 2006-10-19 |
| 1982791927 | John Frank Testerman IIi | Physician Assistant | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37686 | 2006-10-10 |
| 1063433613 | Evelyn Marie Reilman | Dietitian, Registered | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684-4000 | 2006-07-21 |
| 1245255884 | Richard Crane Haaser | Psychiatry & Neurology | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-07-13 |
| 1336173202 | Sharon Kay Garris | Registered Nurse | James H. Quillen/vamc, Corner of Sidney and Lamont, Mountain Home, TN 37684 | 2006-07-10 |
| 1154355717 | Kendra Renee Weaver | Psychologist | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-07-10 |
| 1750315321 | Judson Chase Mcgowan | Orthopaedic Surgery | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-07-10 |
| 1366474280 | Owen D. Murnane Jr. | Audiologist | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-07-07 |
| 1063443760 | Dianne Leslie Hansen | Psychiatry & Neurology | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-07-05 |
| 1831129147 | Thomas Payne Massello | Surgery | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684-4000 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992727424 | Robin R Wiley | Nurse Practitioner | Lamont & Sydney Street, Veterans Affairs Medical Center, Mountain Home, TN 37684 | 2006-07-24 |
| 1538699319 | Sara Taylor Mills | Nurse Practitioner | Bldg 52 Lake Drive, Va Medical Center, Mountain Home, TN 37684 | 2017-06-14 |
| 1710361464 | Whitney Hill Reed | Nurse Practitioner | 899 Burnett Dr, Mountain Home, AR 72653 | 2015-07-13 |
| 1528403045 | Jimmy Tompo Gargar | Nurse Practitioner | Corner of Lamont and Veterans Way, James H. Quillen Vamc, Mountain Home, TN 37684-4000 | 2013-05-10 |
| 1861400608 | Lynn Ann Outlaw | Nurse Practitioner | 230 Highway 5 N Ste 20, Mountain Home, AR 72653-3031 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972966 | Rebecca Singleton | Nurse Practitioner | 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 | 2020-11-03 |
| 1205434503 | Sonya Lavet Butler | Nurse Practitioner | 3413 Axelwood Dr, Murfreesboro, TN 37128-3984 | 2020-10-09 |
| 1417554361 | John Pearson Redmond | Nurse Practitioner | 1710 Ghost Creek Dr, Collierville, TN 38017-3425 | 2020-10-05 |
| 1861099061 | Justin Mccord | Nurse Practitioner | 454 Red Hill Center Rd, Lawrenceburg, TN 38464-6842 | 2020-10-01 |
| 1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
| 1043827041 | Zamaria Davion Louise Gains | Nurse Practitioner | 7405 Shallowford Rd Ste 230, Chattanooga, TN 37421-7632 | 2020-09-24 |
| 1376158998 | Mary L Dean Turner | Nurse Practitioner | 6727 Stonetrace Dr, Bartlett, TN 38135-3054 | 2020-09-10 |
| 1205447794 | Sana Pathan | Nurse Practitioner | 829 S Sherbrooke Cir, Mount Carmel, TN 37645-4019 | 2020-08-10 |
| 1093325557 | Highland Behavioral Healthcare | Nurse Practitioner | 29 Taylor Ave Ste 204, Crossville, TN 38555-4537 | 2020-08-08 |
| 1225648009 | Angela R Davenport | Nurse Practitioner | 7110 Crossroads Blvd, Brentwood, TN 37027-2826 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.