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JERRY L GASTINEAU
NPI 1124118971
Family Medicine in Elizabethton, TN

Active since October 13, 2006
1505 W ELK AVE, SUITE 2, ELIZABETHTON, TN 37643(423) 543-1261(423) 543-7500 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry L Gastineau NPPES

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

JERRY L GASTINEAU (NPI 1124118971) is an individual family medicine provider in Elizabethton, Tennessee, licensed in Tennessee (7688) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1124118971
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJERRY L GASTINEAU
Location Address1505 W ELK AVE, SUITE 2Elizabethton, TN 37643-2848
Mailing Address1505 W Elk Ave, Suite 2Elizabethton, TN 37643-2848 · (423) 543-1261 · Fax (423) 543-7500
Phone(423) 543-1261
Fax(423) 543-7500
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateDecember 18, 2014
✔ NPI 1124118971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 7688
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedMedical Genetics, Ph.D. Medical GeneticsTaxonomy 170100000X · License MD7688 (TN)
1505 W ELK AVE, Elizabethton, TN 37643
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Other Identifiers 9

Medicare PIN103I085841TN
OtherTN0102TN · Americhoice
Other4360576TN · Bcbs
Medicare ID-Type Unspecified3152036TN
Other201575TN · Bluecare
OtherTN0102TN · Johndeere
Medicare UPINBO2385TN
OtherBLUECROSSTN · 201575
Medicaid3152032TN

Other Providers at the Same Location NPPES 11

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

DAVID KENNETH FENNER MD
Internal Medicine
1505 W ELK AVE, SUITE 2
ELIZABETHTON, TN 37643
Carter County (423) 543-1261
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Family Medicine
1505 W ELK AVE, SUITE 2
ELIZABETHTON, TN 37643
Carter County (423) 543-1261
MS. REBECCA P WILKINS F.N.P.
Nurse Practitioner (Women's Health)
1505 W ELK AVE
ELIZABETHTON, TN 37643
Carter County (423) 543-7919
FIRST MEDICAL GROUP INC.
Health Maintenance Organization
1505 W ELK AVE, STE 2
ELIZABETHTON, TN 37643
Carter County (423) 543-1261
DR. JOHN DAVID GREEN M.D.
Obstetrics & Gynecology
1505 W ELK AVE, SUITE 1
ELIZABETHTON, TN 37643
Carter County (423) 543-7919
CHRISTOPHER MANOLI CHRISOHON PA-C
Physician Assistant
1505 W ELK AVE, SUITE 2
ELIZABETHTON, TN 37643
Carter County (423) 543-1261
FIRST MEDICAL GROUP INC
Obstetrics & Gynecology (Obstetrics)
1505 W ELK AVE, SUITE 1
ELIZABETHTON, TN 37643
Carter County (423) 543-7919
DR. BRENT DAVID LAING M.D.
Obstetrics & Gynecology
1505 W ELK AVE, SUITE 1
ELIZABETHTON, TN 37643
Carter County (423) 543-7919

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 Jerry Gastineau's NPI number?

The NPI number for Jerry Gastineau is 1124118971. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Jerry Gastineau located?

Jerry Gastineau practices at 1505 W Elk Ave Suite 2, Elizabethton, TN 37643. The listed phone number is (423) 543-1261.

What is Jerry Gastineau's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jerry Gastineau was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.