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MR. LARRY ERNEST GERDOM PA-C
NPI 1104900547
Physician Assistant in Nashville, TN

Active since October 24, 2006
333 MURFREESBORO RD, NASHVILLE, TN 37210(615) 248-1261(615) 248-1622 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Larry Ernest Gerdom Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY ERNEST GERDOM PA-C (NPI 1104900547) is an individual physician assistant in Nashville, Tennessee, licensed in Tennessee (PA0000001329) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104900547
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. LARRY ERNEST GERDOMCredential: PA-C
Location Address333 MURFREESBORO RDNashville, TN 37210-2834
Mailing Address4010 Wellington CtOld Hickory, TN 37138-4657 · (615) 758-0476 · Fax (615) 248-1622
Phone(615) 248-1261
Fax(615) 248-1622
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104900547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · PA0000001329
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
333 MURFREESBORO RD, Nashville, TN 37210
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TREVECCA NAZARENE UNIVERSITY
Local Education Agency (LEA)
333 MURFREESBORO RD
NASHVILLE, TN 37210
Davidson County (615) 248-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Gerdom's NPI number?

The NPI number for Larry Gerdom is 1104900547. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Larry Gerdom located?

Larry Gerdom practices at 333 Murfreesboro Rd, Nashville, TN 37210. The listed phone number is (615) 248-1261.

What is Larry Gerdom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Larry Gerdom was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.