Active NPI
Harrison Frederick Warner, MD
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
National Provider Identifier
1174584403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 40852
- Practice address
- 2000 Church St
Nashville, TN 37236-7541 - Phone
- (615) 284-5229
- NPI assigned
- Mar 28, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 40852 | TN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 23866 | SC | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 40852 | TN | Primary |
Addresses
Primary practice location
2000 Church St
Nashville, TN 37236-7541
Mailing address
2004 Hayes St # LL30
Nashville, TN 37203-2646
Phone (615) 284-7950
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23866 | Other | SC | SC MEDICAL LICENSE # |
| 009937112 | Medicaid | AL | |
| 64116353 | Medicaid | KY | |
| 0101058114 | Other | VA | VA MEDICAL LICENSE# |
| 1509868 | Medicaid | TN | |
| 000000037471 | Other | TN | TLC TENNCARE |
| 010335884 | Medicaid | VA | |
| 100051008 | Other | TN | PHP TENNCARE |
| 4123407 | Other | TN | BLUE CROSS |
| 187244 | Other | TN | UNISON TENNCARE |
| 200301076 | Other | NC | NC MEDICAL LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060427000691 | TN | Practitioner - Pathology | 1456247030 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23866 | SC | MD | Anatomic Pathology & Clinical Pathology Physician |
| 40852 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathgroup Labs, LLC | Past | Accepting new patients | |
| Associated Pathologists LLC | Past | Accepting new patients |
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.
-
dba Anatomic Pathology Lab
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1235186800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1174584403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 HAYES ST # LL30",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032646",
"telephone_number": "615-284-7950",
"fax_number": "615-284-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CHURCH ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372367541",
"telephone_number": "615-284-5229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "HARRISON",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "TN",
"license": "40852",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "SC",
"license": "23866",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "40852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MEDICAL LICENSE #",
"identifier": "23866",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009937112",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64116353",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA MEDICAL LICENSE#",
"identifier": "0101058114",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1509868",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC TENNCARE",
"identifier": "000000037471",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010335884",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP TENNCARE",
"identifier": "100051008",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4123407",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON TENNCARE",
"identifier": "187244",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL LICENSE#",
"identifier": "200301076",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.