Healthcare Provider Details

I. General information

NPI: 1235065855
Provider Name (Legal Business Name): DAVID GEARHART
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4007 LEBANON PIKE
HERMITAGE TN
37076-2013
US

IV. Provider business mailing address

237 LIMESTONE WAY
LEBANON TN
37087-5436
US

V. Phone/Fax

Practice location:
  • Phone: 615-367-1444
  • Fax: 888-615-1445
Mailing address:
  • Phone: 615-367-1444
  • Fax: 888-615-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number287315
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: