Individual provider Active NPI

Esiri Esin, M.D.

  • Psychiatry Physician
  • Nashville, TN
National Provider Identifier
1013147990
Registry record updated Jul 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
45189 Issued in TN
Practice address
1005 Dr DB Todd Jr Blvd
Meharry Medical College
Nashville, TN 37208-3501
Phone
(615) 327-6350
Fax
(615) 327-6260
NPI assigned
Jul 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 45189 TN Primary

Addresses

Primary practice location

1005 Dr DB Todd Jr Blvd
Meharry Medical College
Nashville, TN 37208-3501

Mailing address

1005 Dr DB Todd Jr Blvd
Meharry Medical College
Nashville, TN 37208-3501
Phone (615) 327-6350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100927000264 AL Practitioner - Psychiatry 4284778259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectracare Integrated Services LLCGroup PAC ID 8921386798, 4 clinicians
Spectracare Health Systems IncGroup PAC ID 3779509765, 15 clinicians

Practice addresses (Care Compare)

1672 Columbia Hwy
Dothan, AL 36303-5434
Phone (334) 712-2671

3542 Montgomery Hwy
Dothan, AL 36303-2165
Phone (334) 712-2720

Hospital & facility affiliations

  • Dale Medical Center Hospital, Ozark, AL, CCN 010021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectracare Health Systems, Inc. CurrentSince Sep 30, 2012 Accepting new patients
Spectracare Integrated Services LLC CurrentSince Oct 1, 2016 Accepting new patients
Professional Resource Managment of Wiregrass, LLC Psychiatry Past Accepting new patients
Dale Medical Center Past Accepting new patients
Meghani Medical, PC Past Accepting new patients

Locations

219 Dothan Rd
Abbeville, AL 36310
Phone (334) 585-5331

1242 US Highway 431 S
Abbeville, AL 36310
Phone (334) 585-6864

440 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 673-2143

3542 Montgomery Hwy
Dothan, AL 36303
Phone (334) 712-2720

134 Prevatt Rd
Dothan, AL 36301
Phone (334) 699-3858

1672 Columbia Hwy
Dothan, AL 36303
Phone (334) 712-2671

133 N Orange Ave
Eufaula, AL 36027

1203 W Maple Ave
Geneva, AL 36340
Phone (334) 805-1395

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

134 Katherine Ave
Ozark, AL 36360
Phone (334) 774-5146

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248480000000",
    "number": "1013147990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DR DB TODD JR BLVD",
            "address_2": "MEHARRY MEDICAL COLLEGE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083501",
            "telephone_number": "615-327-6350",
            "fax_number": "615-327-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DR DB TODD JR BLVD",
            "address_2": "MEHARRY MEDICAL COLLEGE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083501",
            "telephone_number": "615-327-6350",
            "fax_number": "615-327-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESIN",
        "first_name": "ESIRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-25",
        "last_updated": "2009-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "45189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.