Active NPI
Richard P. Guerrant III, M.D.
- Internal Medicine Physician
- Covington, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD015822
- Practice address
- 1995 Highway 51 S
Suite 111
Covington, TN 38019-3635 - Phone
- (901) 475-6607
- Fax
- (901) 475-6612
- NPI assigned
- Jun 21, 2007
- Last updated
- May 17, 2016
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD015822 | TN | Primary |
Addresses
Primary practice location
1995 Highway 51 S
Suite 111
Covington, TN 38019-3635
Mailing address
1995 Highway 51 S Ste 111
Covington, TN 38019-3654
Phone (901) 475-6607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3050723 | Medicaid | TN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD015822 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Richard P Guerrant MD | Internal Medicine | Past | Accepting new patients |
Locations
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621
1995 Highway 51 S
Ste 111
Covington, TN 38019
Phone (901) 475-6607
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- https://api.platform.athenahealth.com/3309/brand/1/csg/1/fhir/r4
- richard.guerrant.1@3309.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
- Internal Medicine Physician
- Covington, TN
- NPI 1720198104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1174729735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 HIGHWAY 51 S STE 111",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380193654",
"telephone_number": "901-475-6607",
"fax_number": "901-475-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 HIGHWAY 51 S",
"address_2": "SUITE 111",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380193635",
"telephone_number": "901-475-6607",
"fax_number": "901-475-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRANT",
"first_name": "RICHARD",
"middle_name": "P.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD015822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3050723",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.