Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gerald W. Polk, PA-C

Individual provider Physician Assistant · NPI 1558472936

Mr. Gerald W. Polk, PA-C is a Physician Assistant in Old Hickory, Tennessee. Licensed in California and Tennessee. Registered with an NPI since 2006.

Licensed in
CA, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1002 Industrial Dr
Old Hickory, TN 37138-3696
Phone: (615) 847-6574
Fax: (615) 847-6036
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA0000000659 (TN)
Physician Assistant Taxonomy 363A00000X · Licence PA19769 (CA)

Record details

NPI number1558472936
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMay 19, 2011