Individual provider Active NPI

Terence Thomas Hart, MD

  • Family Medicine Physician
  • Muscle Shoals, AL
National Provider Identifier
1114020187
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7980 Issued in AL
Practice address
203 W Avalon Ave
Suite 390
Muscle Shoals, AL 35662
Phone
(256) 386-1105
Fax
(256) 381-1018
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7980 AL Primary

Addresses

Primary practice location

203 W Avalon Ave
Suite 390
Muscle Shoals, AL 35662

Mailing address

PO Box 2543
203 W Avalon Ave Suite 390
Muscle Shoals, AL 35662
Phone (256) 386-1105

Other names 1

  • Terence T Hart Professional name

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
I20101004000950 AL Practitioner - General PracticePractitioner - Addiction Medicine 4880583699 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7980ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Primary Care, LLC Family Medicine CurrentSince May 1, 2016 Accepting new patients

Locations

342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

1404 E Avalon Ave
Tuscumbia, AL 35674
Phone (256) 381-5507

Organizations & group practices 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1114020187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2543",
            "address_2": "203 W AVALON AVE SUITE 390",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35662",
            "telephone_number": "256-386-1105",
            "fax_number": "256-381-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W AVALON AVE",
            "address_2": "SUITE 390",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35662",
            "telephone_number": "256-386-1105",
            "fax_number": "256-381-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "TERENCE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "7980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERENCE",
            "last_name": "HART",
            "middle_name": "T",
            "credential": "MD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Muscle Shoals, AL

Sources for this page

Verify at the official NPI Registry.