Active NPI
Shant Hagop Garabedian, DO
- Emergency Medicine Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1274
- Practice address
- 367 Hospital Blvd
Jackson, TN 38305-2080 - Phone
- (731) 661-2095
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1274 | TN | Primary |
Addresses
Primary practice location
367 Hospital Blvd
Jackson, TN 38305-2080
Mailing address
118 Barrett PL
Jackson, TN 38305-1918
Phone (731) 695-8215
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3830111 | Medicaid | TN | |
| P00268882 | Other | RR MEDICARE | |
| 4105328 | Other | BCBS | |
| 3830112 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY, AL
- 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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
803 Poplar St
Murray, KY 42071-2432
Phone (954) 939-5000
Hospital & facility affiliations
- Murray-Calloway County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1274 | TN | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist South Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Germantown Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Racers Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Methodist University Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Methodist North Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| T M Carr MD PC | Emergency Medicine | Current | Accepting new patients |
| Coffee County Physician Group PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Care Facilities PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Cane Ridge Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
803 Poplar St
Murray, KY 42071
Phone (270) 762-1155
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135
400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410
3525 Chere Carol Rd
Humboldt, TN 38343
Phone (731) 784-2321
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000
923 E Central Ave
La Follette, TN 37766
Phone (423) 907-1200
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586
161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
4039 Highland St
Milan, TN 38358
Phone (731) 660-8755
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954
Interoperability endpoints
- sgarabed@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Murray, KY
- NPI 1811221492
-
- Emergency Medicine Physician
- Manchester, TN
- NPI 1437164878
-
- Emergency Medicine Physician
- Jackson, TN
- NPI 1538345855
-
- Emergency Medicine Physician
- Germantown, TN
- NPI 1518747526
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1801677083
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1609657873
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1023899291
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
-
- Emergency Medicine Physician
- Ozark, AL
- NPI 1013744424
-
- Emergency Medicine Physician
- Smyrna, TN
- NPI 1275815433
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1124058276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 BARRETT PL",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051918",
"telephone_number": "731-695-8215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 HOSPITAL BLVD",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052080",
"telephone_number": "731-661-2095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARABEDIAN",
"first_name": "SHANT",
"middle_name": "HAGOP",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "1274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3830111",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00268882",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4105328",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3830112",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.