Monam Bashir Awan, M.D.
Individual provider Active NPI Family Medicine Physician · Centerville, TN
NPI 1013103449 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1013103449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD46326 (TN)
- Practice address
- 135 E Swan St
Centerville, TN 37033-1417 - Phone
- (931) 729-6779
- Fax
- (931) 729-0174
- NPI assigned
- Sep 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Emergency Physicians LLC
Baptist Memorial Medical Group, Inc.
Greenbrook Physician Services, LLC
Practice addresses (Care Compare)
1500 W Poplar Ave
Collierville, TN 38017-0601
Phone (901) 861-9000
2100 N 7TH St
West Memphis, AR 72301-2017
Phone (870) 394-7800
255 Baptist Blvd
Columbus, MS 39705-2006
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000
Hospital & facility affiliations
- Baptist Memorial Hospital Desoto
- Saint Francis Bartlett Medical Center
- Baptist Memorial Hospital-Crittenden, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110120000611 | TN | Practitioner - Family Practice |
6507045747 | Reassigns benefits to 7 organizations |
| I20180606001971 | MS | Practitioner - Family Practice |
6507045747 | Reassigns benefits to 4 organizations |
| I20230309002695 | AR | Practitioner - Family Practice | 6507045747 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25428 | MS | MD | Family Medicine Physician |
| MD46326 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee Ed, PLLC | Current |
Accepting new patients | |
| Carr PLLC | Current |
Accepting new patients | |
| Southeastern Emergency Physicians LLC | Current |
Accepting new patients | |
| Saint Thomas Hickman Hospital | Current |
Accepting new patients | |
| Saint Thomas Hickman Hospital | Current | Accepting new patients | |
| T M Carr MD PC | Current |
Accepting new patients | |
| Greenbrook Physician Services, LLC | Current |
Accepting new patients | |
| Concord Medical Group of Kentucky PLLC | Current |
Accepting new patients | |
| Baptist Memorial Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients | |
| Hickman Community Health Careservices | Current |
Accepting new patients | |
| Baptist Memorial Hospital-Desoto, Inc, | Past | Accepting new patients |
Locations
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
135 E Swan St
Centerville, TN 37033
Phone (931) 729-3513
150 E Swan St
Centerville, TN 37033
Phone (931) 729-3091
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220
111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 25428 | MS | |
| Family Medicine Physician | 207Q00000X | E-13987 | AR | |
| Family Medicine Physician | 207Q00000X | MD46326 | TN | Yes |
Addresses
Primary practice location
135 E Swan St
Centerville, TN 37033-1417
Mailing address
135 E Swan St
Centerville, TN 37033-1417
Phone (931) 729-6779
Other practice location 1
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3610
Other practice location 2
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 226-3610
Other providers in Centerville, TN
- Aah of Tennessee I, LLC
- Accupath Diagnostic Laboratories, Inc.
- Carrie Allen
- Kenneth Baird
- Cindy L Baker
- Monica Ann Baker
- Carol J Ballard
- Katherine Barber
All providers in Centerville, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.