Individual
JERRY K GOUGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0480
Mailing address
30 BURTON HILLS BLVD, STE 175, NASHVILLE, TN 37215-6403
(615) 988-2014
(615) 208-1303
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1728
TN
363A00000X
Physician Assistant
Primary
1728
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515542
—
TN
Enumeration date
07/21/2009
Last updated
12/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us