Active NPI
Monam Bashir Awan, M.D.
- Family Medicine Physician
- Centerville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD46326
- Practice address
- 135 E Swan St
Centerville, TN 37033-1417 - Phone
- (931) 729-6779
- Fax
- (931) 729-0174
- NPI assigned
- Sep 19, 2007
- Last updated
- Jan 30, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| 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 | Primary |
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
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 226-3610
Other practice location 2
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-13987 | AR | 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 | |
| Hickman Community Health Careservices | Current | Accepting new patients | |
| Saint Thomas Hickman Hospital | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Concord Medical Group of Kentucky PLLC | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Current | Accepting new patients | |
| Carr PLLC | Current | Accepting new patients | |
| Greenbrook Physician Services, LLC | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| T M Carr MD PC | Current | Accepting new patients | |
| Saint Thomas Hickman Hospital | 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
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
AR, Family Medicine, MS
-
- Internal Medicine Physician
- Southaven, MS
- NPI 1801683008
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
AR, MS, TN
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
dba Sound Physicians Emergency of Greater Memphis
- Emergency Medicine Physician
- Brentwood, TN
- NPI 1548677610
MS
-
dba Ascension Saint Thomas Hickman
- Critical Access Hospital
- Centerville, TN
- NPI 1245275254
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
TN
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
dba Hickman Medical Center
- Rural Health Clinic/Center
- Lyles, TN
- NPI 1225049570
-
dba Ascension Saint Thomas Hickman Medical Clinic
- Rural Health Clinic/Center
- Centerville, TN
- NPI 1992718688
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Francis Hospital-Bartlett
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
-
- General Acute Care Hospital
- West Memphis, AR
- NPI 1437634524
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1013103449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 E SWAN ST",
"city": "CENTERVILLE",
"state": "TN",
"postal_code": "370331417",
"telephone_number": "931-729-6779",
"fax_number": "931-729-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 E SWAN ST",
"city": "CENTERVILLE",
"state": "TN",
"postal_code": "370331417",
"telephone_number": "931-729-6779",
"fax_number": "931-729-0174"
}
],
"practiceLocations": [
{
"address_1": "7601 Southcrest Pkwy",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386714739",
"country_code": "US",
"telephone_number": "901-226-3610",
"fax_number": "901-226-3612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6019 Walnut Grove Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202113",
"country_code": "US",
"telephone_number": "901-226-3610",
"fax_number": "901-226-3612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AWAN",
"first_name": "MONAM",
"middle_name": "BASHIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "25428",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-13987",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD46326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.