Active NPI
Vernon M Carrigan, MD
- Internal Medicine Physician
- Clarksville, TN
National Provider Identifier
1144201161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10268
- Practice address
- 490 Dunlop LN
Clarksville, TN 37040-5007 - Phone
- (931) 245-8300
- Fax
- (931) 245-8360
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10268 | TN | Primary |
Addresses
Primary practice location
490 Dunlop LN
Clarksville, TN 37040-5007
Mailing address
PO Box 3799
Clarksville, TN 37043-3799
Phone (931) 245-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409113275 | Other | TN | RR MEDICARE |
| 3171374 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10268 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group PC | Internal Medicine | Current | Accepting new patients |
| Tennessee Heart and Lung Institute PLC | Past | Accepting new patients |
Locations
1832 Memorial Dr
Clarksville, TN 37043
Phone (931) 645-3552
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
Organizations & group practices 2
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.
-
- General Practice Physician
- Clarksville, TN
- NPI 1740242957
Internal Medicine
-
- Specialist
- Clarksville, TN
- NPI 1699802371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1144201161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3799",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370433799",
"telephone_number": "931-245-8300",
"fax_number": "931-245-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 DUNLOP LN",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405007",
"telephone_number": "931-245-8300",
"fax_number": "931-245-8360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRIGAN",
"first_name": "VERNON",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "10268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "409113275",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3171374",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.