Individual provider Active NPI

Logan Snyder I, MD

  • Emergency Medicine Physician
  • Clarksville, TN
National Provider Identifier
1194259630
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0000058676 Issued in TN
Practice address
651 Dunlop LN
Clarksville, TN 37040-5015
Phone
(931) 502-1000
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 0000058676 TN Primary

Addresses

Primary practice location

651 Dunlop LN
Clarksville, TN 37040-5015

Mailing address

3261 Oak Ridge Rd
Palmyra, TN 37142-2338
Phone (423) 747-4024

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
I20190607002334 TN Practitioner - Emergency Medicine 4486922663 Reassigns benefits to 6 organizations
I20241009001886 KY Practitioner - Emergency Medicine 4486922663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians
Fep of Kentucky LLCGroup PAC ID 8123473626, 21 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

107 Natchez Park Dr
Tristar Natchez ER
Dickson, TN 37055-9013
Phone (615) 326-2960

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

923 E Central Ave
La Follette, TN 37766-2768
Phone (423) 907-1200

Hospital & facility affiliations

  • Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046
  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051
  • Lafollette Medical Center Hospital, La Follette, TN, CCN 440033

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
83.8
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000058676TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Oct 18, 2024 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Jun 13, 2023 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Fep of Kentucky LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2019 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

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

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

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

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

923 E Central Ave
La Follette, TN 37766
Phone (423) 907-1200

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

71 Wheelertown Ave
Pikeville, TN 37367
Phone (423) 447-2112

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1194259630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 OAK RIDGE RD",
            "city": "PALMYRA",
            "state": "TN",
            "postal_code": "371422338",
            "telephone_number": "423-747-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 DUNLOP LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405015",
            "telephone_number": "931-502-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "LOGAN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "0000058676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.