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Organization

Geriatric Essentials, PC

NPI Record: ActiveClinical Nurse Specialist — Gerontology
NPI1003086307
Dyersburg, Tennessee

Provider's NPPES record last updated: September 1, 2020

Overview

Entity Type
Organization
NPI
1003086307
Primary Specialty
Clinical Nurse Specialist — Gerontology
Practice Location
Dyersburg, Tennessee
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:55 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinical Nurse Specialist

    Gerontology

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 364SG0600X

Provider-Reported License Information

Clinical Nurse Specialist (Tennessee)
APN013215
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

804 Scotsman Trce

Dyersburg, Tennessee 38024-2910

Phone: (731) 571-8808

Additional Practice Location

1950 Cook St Ste G

Dyersburg, Tennessee 38024-1899

Phone: (731) 571-8808

Fax: (731) 214-1816

Additional Practice Location

12181 US Hwy 51

Halls, Tennessee 38040

Phone: (731) 571-8808

Fax: (731) 214-1816

Additional Practice Location

402 W Farthing St

Mayfield, Kentucky 42066-2900

Phone: (731) 571-8808

Fax: (731) 214-1816

Additional Practice Location

500 Truman Blvd

Caruthersville, Missouri 63830-1261

Phone: (731) 571-8808

Fax: (731) 214-1816

Record Information

Enumeration Date
March 3, 2008
Provider's NPPES Record Last Updated
September 1, 2020
Certification Date
August 31, 2020
NPISignal NPPES Dataset
August 2026

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