Individual provider Active NPI

Celia Harrison, MD

  • Emergency Medicine Physician
  • Sweetwater, TN
National Provider Identifier
1326079898
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
019880 Issued in TN
Practice address
304 Church St
Sweetwater, TN 37874-1181
Phone
(865) 213-8200
Fax
(865) 291-3228
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 019880 TN Primary

Addresses

Primary practice location

304 Church St
Sweetwater, TN 37874-1181

Mailing address

17988 W Lee Hwy
Philadelphia, TN 37846-2475

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
I20050104000120 TN Practitioner - Emergency Medicine 9638127921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Alabama School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

304 Church St
Sweetwater, TN 37874-1181
Phone (865) 213-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019880TNMDEmergency Medicine Physician
19880TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Hospital ER Physician Group Emergency Medicine CurrentSince Sep 22, 1989 Accepting new patients
Sweetwater Hospital Association CurrentSince Sep 22, 1989 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Sweetwater Hospital Association Current Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients

Locations

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

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sweet-8feb766f

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326079898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17988 W LEE HWY",
            "city": "PHILADELPHIA",
            "state": "TN",
            "postal_code": "378462475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CHURCH ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741181",
            "telephone_number": "865-213-8200",
            "fax_number": "865-291-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CELIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "019880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TN

Sources for this page

Verify at the official NPI Registry.