Organization
JOHN N. GERNERT
Active
Other names
Cleveland Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANNA GREEN (OFFICE MANAGER/AM)
(423) 476-3773
Entity
Organization
Contact information
Practice address
105 KEITH ST NW, CLEVELAND, TN 37311-1704
(423) 476-3773
(423) 476-8529
Mailing address
105 KEITH ST NW, CLEVELAND, TN 37311-1704
(423) 476-3773
(423) 476-8529
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM0000000198
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G703357
MEDICARE GROUP #/PTAN
—
01
—
1194867580
NPI
TN
01
—
1629408703
NPI
TN
01
—
4354855
MEDICARE
—
05
—
Q008266
—
TN
Enumeration date
11/26/2013
Last updated
12/30/2025
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