What is Gary Pederson's NPI number?

Gary Pederson's National Provider Identifier (NPI) is 1215581913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Gary Pederson's specialty?

Gary Pederson is listed in the NPPES registry with a primary specialty of Attendant Care Provider (Nursing Service Related Providers).

Where is Gary Pederson located?

Gary Pederson's practice location on file with NPPES is 111 Deer Trl Nw, Cleveland, TN 37312-1110.

What is Gary Pederson's phone number?

The practice phone number listed in the NPPES registry for Gary Pederson is (423) 331-0501.

Is Gary Pederson's NPI active?

Yes — Gary Pederson's NPI (1215581913) is active in the NPPES registry as of the last update on 2019-07-31.

IndividualActive

Gary Pederson

NPI 1215581913 · Attendant Care Provider · Cleveland, TN

Gary Pederson is a Attendant Care Provider provider in Cleveland, TN (NPI 1215581913).

Provider details

NPI number: 1215581913
Entity type: Individual
Primary specialty: Attendant Care ProviderNursing Service Related Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Attendant Care ProviderPrimary3747A0650X
Nursing Service Related Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

111 Deer Trl Nw

Cleveland, TN 37312-1110

Phone: (423) 331-0501

Street-level locationGet directions

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Mailing address