Individual provider Active NPI

Harris E Hawk, MD

  • Vascular & Interventional Radiology Physician
  • Chattanooga, TN
National Provider Identifier
1114131588
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
51225 Issued in TN
Practice address
975 E 3Rd St
Box 376
Chattanooga, TN 37403-2147
Phone
(423) 778-7234
Fax
(423) 778-6811
NPI assigned
May 9, 2007
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116018302 VA
Neuroradiology Physician 2085N0700X 33948 SC
Vascular & Interventional Radiology Physician 2085R0204X 51225 TN Primary

Addresses

Primary practice location

975 E 3Rd St
Box 376
Chattanooga, TN 37403-2147

Mailing address

975 E 3Rd St
Box 376
Chattanooga, TN 37403-2147
Phone (423) 778-7234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140925002330 TN Practitioner - Interventional Radiology 6406005040 Reassigns benefits to 1 organization
I20160315002938 NC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6406005040 Reassigns benefits to 1 organization
I20160411001695 GA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6406005040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Interventional and Imaging Associates PLLCGroup PAC ID 4688897473, 33 clinicians

Practice addresses (Care Compare)

3990 E US 64 Alt
Murphy, NC 28906-6843
Phone (423) 778-7234

975 E 3Rd St
Box 376
Chattanooga, TN 37403-2147
Phone (423) 778-7234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
85.9
Improvement activities
40
Cost
72.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116018302VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Interventional and Imaging Associates, PLLC Vascular & Interventional Radiology CurrentSince Aug 2, 2014 Accepting new patients

Locations

162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408

196 Ridgecrest Cir
Clayton, GA 30525
Phone (706) 746-6571

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

975 E 3rd St
#376
Chattanooga, TN 37403
Phone (423) 778-6216

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1114131588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "address_2": "BOX 376",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7234",
            "fax_number": "423-778-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "address_2": "BOX 376",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7234",
            "fax_number": "423-778-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "HARRIS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116018302",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "SC",
            "license": "33948",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TN",
            "license": "51225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.