Gallatin Prescription Shop – Internal Medicine Physician, NPI 1750935367
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Gallatin Prescription Shop
PO BOX 1884
BOWLING GREEN, KY 421021884
Phone:
Type: Mailing
734, Nashville Pike, Gallatin, Sumner County, Tennessee, 37066, United States
GALLATIN, TN 370663102
Phone: (615) 265-0521
Fax: (615) 265-0522
Type: Location
734 NASHVILLE PIKE
GALLATIN, TN 370663102
Phone: (615) 265-0521
Fax: (615) 265-0522
Type: Mailing
420 TN-52
PORTLAND, TN 37148
Phone: (615) 909-4030
Fax: (615) 909-6005
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (41 days ago).
Enrollment records
2
Earliest due date
2026-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210407000900 | O | Mass Immunization (Roster Biller Only) | TN | 2026-04-30 |
| O20230927002524 | O | Clinic/Group Practice | TN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 75 | 74 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 69 | 69 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 26 | 26 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 26 | 26 | $0 |
Insurance plans in this area (ZIP 42102)
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