MARK GREGORY GOGAN (NPI# 1447398722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447398722 |
| Entity Type | Individual |
| Full Name | MARK GREGORY GOGAN |
| Credential | BA |
| Practice Address |
109 W Watauga Ave Johnson City TN 37605 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4232322711 |
| Practice Fax Number | 4232322789 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
109 W WATAUGA AVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068022 | Constance Sue Lackner-mullins | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2006-03-24 |
| 1417565201 | Christine A Oaks | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-07-17 |
| 1205459245 | Makayla W Shippy | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-05-26 |
| 1336774652 | Meagan Elizabeth Smith- Quisenberry | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-03-06 |
| 1063071926 | Christy R. Crick | Marriage & Family Therapist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2019-06-13 |
| 1528539582 | Aaron Free | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-12-16 |
| 1144700337 | Marcus Antonio (tony) Chambers | Licensed Practical Nurse | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-08-16 |
| 1952897357 | Kristina S Roberts | Psychologist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2018-07-09 |
| 1457845869 | Lurelle Louise Maxey | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2018-06-19 |
| 1679079206 | Tyler Daniel Garland | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598835738 | Jennifer Lee Puett | Case Manager/Care Coordinator | 109 West Watauga Ave, Johnson City, TN 37605 | 2006-11-08 |
| 1285717504 | Misty Dawn Adams | Case Manager/Care Coordinator | 109 W Watauga, Johnson City, TN 37605 | 2006-10-23 |
| 1124122114 | Ali Al Garatli | Psychiatry & Neurology | 109 West Watauga Avenue, Johnson City, TN 37605 | 2006-09-11 |
| 1356465801 | Firoz B Munshi | Psychiatry & Neurology | 109 West Watauga Avenue, Johnson City, TN 37605 | 2007-03-19 |
| 1528106598 | Rose Marie Vanhuss | Case Manager/Care Coordinator | 109 West Watauga Avenue, Johnson City, TN 37605 | 2007-02-02 |
| 1528106879 | Jason Donald Rice | Case Manager/Care Coordinator | 109 West Watauga Avenue, Johnson City, TN 37605 | 2007-02-01 |
| 1376681684 | Nancy E Cross | Counselor | 109 West Watauga Ave, Johnson City, TN 37605 | 2007-02-01 |
| 1184790743 | Dolores A Johnson | Case Manager/Care Coordinator | 109 West Watauga Avenue, Johnson City, TN 37605 | 2006-11-27 |
| 1730254970 | Deborah Lynn Wallen | Case Manager/Care Coordinator | 109 West Watauga Avenue, Johnson City, TN 37605 | 2006-11-22 |
| 1235208596 | Faith M Mahoney | Counselor | 109 West Watauga Avenue, Johnson City, TN 37605 | 2006-11-08 |
| Find all providers in zip 37605 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123941 | Jessica Farmer | Case Manager/Care Coordinator | 2700 S Roan St Ste 425, Johnson City, TN 37601-7587 | 2015-01-05 |
| 1730432592 | Samantha N Blevins | Case Manager/Care Coordinator | 802 Buffalo St, Suite 8, Johnson City, TN 37604-6900 | 2012-10-18 |
| 1518110733 | Darrell Craig Bush | Case Manager/Care Coordinator | 24 Cherry St # Po, Johnson City, NY 13790-2615 | 2008-10-31 |
| 1689743957 | Judy Anne Miles | Case Manager/Care Coordinator | 109 W Watauga Avenue, Johnson City, TN 37604 | 2006-11-08 |
| 1598835738 | Jennifer Lee Puett | Case Manager/Care Coordinator | 109 West Watauga Ave, Johnson City, TN 37605 | 2006-11-08 |
| 1972686640 | Craig Robert Wilson | Case Manager/Care Coordinator | 1003 N Boradway, Johnson City, TN 37601 | 2006-10-24 |
| 1285717504 | Misty Dawn Adams | Case Manager/Care Coordinator | 109 W Watauga, Johnson City, TN 37605 | 2006-10-23 |
| 1679079206 | Tyler Daniel Garland | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-03 |
| 1538665328 | Ashlie Katelyn Depew | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-02 |
| 1649706490 | Alexamdra D'shay Myers | Case Manager/Care Coordinator | 2700 S Roan St, Suite 425, Johnson City, TN 37601-7556 | 2017-05-11 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37605 |
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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.