Individual provider Active NPI

Andrew Buchman Nearn, M.D.

  • Pediatrics Physician
  • Memphis, TN
National Provider Identifier
1003080615
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
47119 Issued in TN
Practice address
2861 Broad Ave
Memphis, TN 38112-2903
Phone
(901) 701-2520
Fax
(901) 325-6469
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 47119 TN Primary

Addresses

Primary practice location

2861 Broad Ave
Memphis, TN 38112-2903

Mailing address

2595 Central Ave
Memphis, TN 38104-5905
Phone (901) 260-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907001387 TN Practitioner - Pediatric Medicine 3870763550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47119TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Inc Current Accepting new patients
Christ Community Health Services Inc CurrentSince Jan 9, 2015 Accepting new patients
Christ Community Health Services Inc CurrentSince Jan 9, 2015 Accepting new patients
Baptist Memorial Hospital Past Accepting new patients
Christ Community Health Services Inc Past Accepting new patients

Locations

2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500

3481 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 701-2570

2595 Central Ave
Memphis, TN 38104
Phone (901) 260-8500

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCIAD/Endpoint/BJCIAD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1003080615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 CENTRAL AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045905",
            "telephone_number": "901-260-8500",
            "fax_number": "901-260-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 BROAD AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381122903",
            "telephone_number": "901-701-2520",
            "fax_number": "901-325-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEARN",
        "first_name": "ANDREW",
        "middle_name": "BUCHMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "47119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.