Gregory Andrew Hanissian, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

25121 Issued in TN

Practice address

2101 Merchants Row
Ste. 3
Germantown, TN 38138-3862

Phone

(901) 751-9696

Fax

(901) 757-8960

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Allergy/Immunology

Education

University of Alabama School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ghanissian26306@mlh.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

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.

• Consolidated Medical Practices of Memphis,PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1508027491
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1033216148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MERCHANTS ROW",
            "address_2": "STE. 3",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383862",
            "telephone_number": "901-751-9696",
            "fax_number": "901-757-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MERCHANTS ROW",
            "address_2": "STE. 3",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383862",
            "telephone_number": "901-751-9696",
            "fax_number": "901-757-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANISSIAN",
        "first_name": "GREGORY",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "25121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Prieb Hamilton, FNP
• Hamm, Blackstock & Stern, PLLC
• Ryan Patrick Hammond
• Sarah Elizabeth Hammond, M.D.
• Linda K Han, M.D.
• Alice Hanson
• Cassie Hanson, OTD, OTR/L
• Terry James Hanson, D.C.
• Laura Mackenzie Harbin, MD
• Austin Hardaway, MD

• Allergy & Immunology Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Allergy & Immunology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.

Verify at the official NPI Registry.