Individual provider Active NPI

David Magas, MD

  • Family Medicine Physician
  • Collinwood, TN
National Provider Identifier
1285625764
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17846 Issued in TN
Practice address
902 Highway 13 S
Collinwood, TN 38450-4614
Phone
(931) 724-9135
Fax
(931) 724-4572
NPI assigned
Nov 2, 2005
Last updated
Aug 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD17846 TN Primary

Addresses

Primary practice location

902 Highway 13 S
Collinwood, TN 38450-4614

Mailing address

PO Box 215
902 Highway 13 South
Collinwood, TN 38450-0215
Phone (931) 724-9135

Other identifiers 1

IdentifierTypeStateIssuer
3028029MedicaidTN

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
I20040827000912 TN Practitioner - Family PracticePractitioner - Emergency Medicine 9739154386 Practice locations: Collinwood, TN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17846TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Radiology Associates, PLLC PastSince Nov 11, 2019 Accepting new patients
David M. Magas, M.D. Family Medicine PastSince Jan 1, 1990 Accepting new patients
Maury Regional Hospital Past Accepting new patients
Hallmedical Clinic LLC Family Medicine PastSince Oct 24, 2021 Accepting new patients

Organizations & group practices 4

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1285625764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "address_2": "902 HIGHWAY 13 SOUTH",
            "city": "COLLINWOOD",
            "state": "TN",
            "postal_code": "384500215",
            "telephone_number": "931-724-9135",
            "fax_number": "931-724-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 HIGHWAY 13 S",
            "city": "COLLINWOOD",
            "state": "TN",
            "postal_code": "384504614",
            "telephone_number": "931-724-9135",
            "fax_number": "931-724-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGAS",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD17846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3028029",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinwood, TN

Sources for this page

Verify at the official NPI Registry.