Dr Khaisha Verdelle Gist, MD - Medicare Family Medicine in Antioch, TN

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Dr Khaisha Verdelle Gist, MD is a medicare enrolled "Family Medicine" physician in Antioch, Tennessee. Her current practice location is 5380 Hickory Hollow Pkwy Ste 205, Antioch, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 412-8662.

Dr Khaisha Verdelle Gist is licensed to practice in Tennessee (license number MD0000057747) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184011835.

Contact Information

Dr Khaisha Verdelle Gist, MD
5380 Hickory Hollow Pkwy Ste 205,
Antioch, TN 37013-3389
(615) 412-8662
(615) 270-2493

Map and Direction




Physician's Profile

Full NameDr Khaisha Verdelle Gist
GenderFemale
SpecialityFamily Medicine
Location5380 Hickory Hollow Pkwy Ste 205, Antioch, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184011835
  • Provider Enumeration Date: 04/21/2015
  • Last Update Date: 07/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961746219
  • Enrollment ID: I20181128000552

Medical Identifiers

Medical identifiers for Dr Khaisha Verdelle Gist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184011835NPI-NPPES
MD0000057747OtherTNTN LICENSE
1184011835OtherTNRESIDENT/TRAINING PROGRAM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 57747 (Tennessee)Secondary
207Q00000XFamily Medicine MD0000057747 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Khaisha Verdelle Gist allows following entities to bill medicare on her behalf.
Entity NameSaint Thomas Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194669
PECOS PAC ID: 1557269354
Enrollment ID: O20031230000470
Entity NameAdvanced Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677
Entity NameHyde Park Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043903990
PECOS PAC ID: 7214397785
Enrollment ID: O20230714003127

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Khaisha Verdelle Gist is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Khaisha Verdelle Gist, MD
2723 New Salem Hwy,
Murfreesboro, TN 37128-5253

Ph: (615) 410-9360		Dr Khaisha Verdelle Gist, MD
5380 Hickory Hollow Pkwy Ste 205,
Antioch, TN 37013-3389

Ph: (615) 412-8662

Reviews and Comments


Family Medicine Doctors in Antioch, TN

Kimberly Rochelle Collins, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2711 Murfreesboro Pike Ste 201, Antioch, TN 37013
Phone: 615-915-2226    Fax: 629-202-7956
Mr. Christopher D Holloway, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4071 Cane Ridge Pkwy Ste 112, Antioch, TN 37013
Phone: 615-731-8390    Fax: 615-731-8391
Dr. Hunter Austin Johnson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4071 Cane Ridge Pkwy Ste 112, Antioch, TN 37013
Phone: 615-731-8390    Fax: 615-731-8391
Dr. Patricia Louise Eachus, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7120 S Hampton Dr, Antioch, TN 37013
Phone: 865-386-1105    Fax: 615-741-3857
Jennifer Patrice Harris,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 500 Spann Ct, Antioch, TN 37013
Phone: 615-438-5843    
Rosalind K. Womack, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3754 Murfreesboro Pike, Antioch, TN 37013
Phone: 629-208-6200    Fax: 629-208-6201

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.