Individual provider Active NPI

Mark A Muiznieks, MD

  • Emergency Medicine Physician
  • Clarksville, TN
National Provider Identifier
1174570014
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
40646 Issued in TN
Practice address
651 Dunlop Lane Clarksville
Clarksville, TN 37040-5015
Phone
(931) 502-1370
NPI assigned
May 27, 2006
Last updated
Aug 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 40646 TN Primary

Addresses

Primary practice location

651 Dunlop Lane Clarksville
Clarksville, TN 37040-5015

Mailing address

2020 21St Ave S
Suite 201
Nashville, TN 37212-4354
Phone (615) 269-0652

Other identifiers 2

IdentifierTypeStateIssuer
3831915MedicaidTN
000000528735OtherKYBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070327000405 TN Practitioner - Emergency Medicine 8426152778 Reassigns benefits to 6 organizations
I20240619001600 KY Practitioner - Emergency Medicine 8426152778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Creek Emergency Group, PCGroup PAC ID 2466714571, 21 clinicians
Fep of Kentucky LLCGroup PAC ID 8123473626, 21 clinicians
Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians
Hardin Emergency Group LLCGroup PAC ID 2769633148, 8 clinicians

Practice addresses (Care Compare)

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

320 W 18TH St
Hopkinsville, KY 44240-1965
Phone (505) 287-4446

483 Camp Jordan Pkwy
Chattanooga, TN 37412-4425
Phone (423) 242-6880

935 Wayne Rd
Savannah, TN 38372-1904
Phone (731) 926-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.49 of 100Reported as group
Quality
87.93
Improvement activities
40
Cost
76.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40646TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Eagle Creek Emergency Group, PC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Nov 20, 2025 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince May 9, 2024 Accepting new patients
Fep of Kentucky LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Hardin Emergency Group LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

483 Camp Jordan Pkwy
Chattanooga, TN 37412
Phone (423) 242-6880

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

208 Central Ave W
Jamestown, TN 38556
Phone (865) 305-9401

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Organizations & group practices 8

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 4

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1174570014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 21ST AVE S",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124354",
            "telephone_number": "615-269-0652",
            "fax_number": "615-269-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 DUNLOP LANE CLARKSVILLE",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405015",
            "telephone_number": "931-502-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIZNIEKS",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "40646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3831915",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000528735",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.