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DR. KHAISHA VERDELLE GIST M.D.
NPI 1184011835
Family Medicine in Antioch, TN

Active since April 21, 2015PECOS EnrolledAccepts Medicare Assignment
5380 HICKORY HOLLOW PKWY STE 205, ANTIOCH, TN 37013(615) 412-8662(615) 270-2493 Get Directions Write a Review

NPPES record last updated: July 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2023, Apr 20, 2021, Nov 14, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Khaisha Verdelle Gist M.d. NPPES

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

DR. KHAISHA VERDELLE GIST M.D. (NPI 1184011835) is an individual family medicine provider in Antioch, Tennessee, licensed in Tennessee (MD0000057747) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1184011835
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KHAISHA VERDELLE GISTCredential: M.D.
Location Address5380 HICKORY HOLLOW PKWY STE 205Antioch, TN 37013-3389
Mailing Address2723 New Salem HwyMurfreesboro, TN 37128-5253 · (615) 410-9360 · Fax (833) 944-2291
Phone(615) 412-8662
Fax(615) 270-2493
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 21, 2015
Last NPPES UpdateJuly 23, 20234 updates tracked since enumeration
NPPES CertifiedJuly 23, 2023
✔ NPI 1184011835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TN · MD0000057747✔ Licensed in TN · 57747
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.
5380 HICKORY HOLLOW PKWY STE 205, Antioch, TN 37013
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Other Names 1

Former Name (1)Dr. Khaisha Verdelle Johnson M.d.

Secondary Practice Locations 2

Location 13939 Central PikeHermitage, TN 37076-3499 · Phone (615) 883-2331 · Fax (615) 391-1785
Location 22723 New Salem HwyMurfreesboro, TN 37128-5253 · Phone (615) 410-9360

Other Identifiers 2

OtherMD0000057747TN · Tn License
Other1184011835TN · Resident/training Program

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Khaisha Verdelle Gist M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961746219
PECOS Enrollment IDI20181128000552
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Khaisha Gist's NPI number?

The NPI number for Khaisha Gist is 1184011835. It was assigned to this individual provider in the NPPES registry on April 21, 2015. The provider is also known as Dr. Khaisha Verdelle Johnson M.D..

Where is Khaisha Gist located?

Khaisha Gist practices at 5380 Hickory Hollow Pkwy Ste 205, Antioch, TN 37013. The listed phone number is (615) 412-8662.

What is Khaisha Gist's specialty?

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

Is Khaisha Gist enrolled in Medicare?

Yes. Khaisha Gist is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Khaisha Gist accept?

Health plans from BlueCross BlueShield of Tennessee list Khaisha Gist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Khaisha Gist was last updated on July 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.