Individual provider Active NPI

Deidra Demeatra Parrish, M.D.

  • Infectious Disease Physician
  • Nashville, TN
National Provider Identifier
1275706111
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
49278 Issued in TN
Practice address
710 Hart LN
Nashville, TN 37243-1405
Phone
(615) 650-7043
Fax
(615) 262-6139
NPI assigned
Apr 11, 2008
Last updated
May 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 059581 GA
Infectious Disease Physician 207RI0200X 49278 TN Primary

Addresses

Primary practice location

710 Hart LN
Nashville, TN 37243-1405

Mailing address

710 Hart LN
Nashville, TN 37243-1405
Phone (615) 650-7043

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
I20170828002220 TN Practitioner - Internal Medicine 1456641554 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
059581GAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee CurrentSince Jun 17, 2017 Accepting new patients

Locations

1909 Hampshire Pike
Columbia, TN 38401
Phone (931) 388-5757

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1275706111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 HART LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372431405",
            "telephone_number": "615-650-7043",
            "fax_number": "615-262-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 HART LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372431405",
            "telephone_number": "615-650-7043",
            "fax_number": "615-262-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "DEIDRA",
        "middle_name": "DEMEATRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "059581",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "49278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.