Organization Active NPI

Hardie V. Sorrels III MD P

  • Internal Medicine Physician
  • Lebanon, TN
National Provider Identifier
1154512069
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18079 Issued in TN
Legal business name
HARDIE V. SORRELS III MD P
Practice address
715 Castle Heights CT # B
Lebanon, TN 37087-2666
Phone
(615) 444-2320
Fax
(615) 449-3163
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Debbie Dismukes
Title
Practice Administrator
Phone
(615) 444-2320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 18079 TN Primary

Addresses

Primary practice location

715 Castle Heights CT # B
Lebanon, TN 37087-2666

Mailing address

715 Castle Heights CT # B
Lebanon, TN 37087-2666
Phone (615) 444-2320

National Provider Directory

National Provider Directory

Locations

715 Castle Heights Ct
Ste B
Lebanon, TN 37087
Phone (615) 443-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1154512069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CASTLE HEIGHTS CT # B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872666",
            "telephone_number": "615-444-2320",
            "fax_number": "615-449-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CASTLE HEIGHTS CT # B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872666",
            "telephone_number": "615-444-2320",
            "fax_number": "615-449-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDIE V. SORRELS III MD P",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "DISMUKES",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "615-444-2320"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "18079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.