JERRY K GOUGE PA-C
NPI 1720218050
Physician Assistant in Knoxville, TN

Q: What is Jerry Gouge's NPI number?

The NPI number for Jerry Gouge is 1720218050. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Q: What is Jerry Gouge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerry Gouge was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 21, 2009PECOS Enrolled

2018 WESTERN AVE, KNOXVILLE, TN 37921(865) 544-0406(865) 544-0480 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2021, Jun 16, 2021, Nov 23, 2015 (3 updates tracked since 2015).

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About Jerry K Gouge Pa-c NPPES

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

JERRY K GOUGE PA-C (NPI 1720218050) is an individual physician assistant in Knoxville, Tennessee, licensed in Tennessee (1728) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720218050

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJERRY K GOUGECredential: PA-C

Location Address2018 WESTERN AVEKnoxville, TN 37921-5718

Mailing Address30 Burton Hills Blvd, Ste 175Nashville, TN 37215-6403 · (615) 988-2014 · Fax (615) 208-1303

Phone(865) 544-0406

Fax(865) 544-0480

Sole ProprietorYes

Enumeration DateJuly 21, 2009

Last NPPES UpdateDecember 29, 20213 updates tracked since enumeration

NPPES CertifiedDecember 29, 2021

✔ NPI 1720218050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 1728

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 1728 (TN)

2018 WESTERN AVE, Knoxville, TN 37921

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Other Identifiers 1

Medicaid1515542TN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry K Gouge Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 37921 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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

KIMBERLY EVANS

Licensed Practical Nurse