Individual provider Active NPI

Richard P. Guerrant III, M.D.

  • Internal Medicine Physician
  • Covington, TN
National Provider Identifier
1174729735
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD015822 Issued in TN
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3050723MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826001605 TN Practitioner - Internal Medicine 1254647993 Reassigns benefits to 1 organization
Practice locations: Covington, TN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD015822TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jun 24, 2015 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

  • FHIR API: https://api.platform.athenahealth.com/3309/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.