Enawgaw B Mehari, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD60512 Issued in TN

Practice address

127 Crestview Park Dr Ste 200
Dickson, TN 37055-2856

Phone

(615) 441-4520

Fax

(615) 441-4485

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, TN2 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

Specialty

NeurologyAlso: Pain Management

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dickson Medical Associates, PCGroup PAC ID 3971408774, 55 clinicians

Barfield Physician Services, PCGroup PAC ID 6901344688, 17 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emehari26961@dicksonmedicalassociates.gardenplot.direct-ci.com

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Dickson Medical Associates, PC

  • Rural Health Clinic/Center
  • Dickson, TN
  • NPI 1003425224

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Dickson Medical Associates, PC

  • Primary Care Clinic/Center
  • Hohenwald, TN
  • NPI 1578272852

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Dickson Medical Associates, PC

  • Rural Health Clinic/Center
  • Fairview, TN
  • NPI 1710565205

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Dickson Medical Associates, PC

  • Rural Health Clinic/Center
  • Waverly, TN
  • NPI 1730835356

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Dickson Medical Associates, PC

  • Rural Health Clinic/Center
  • Waverly, TN
  • NPI 1770196453

  General Partnership Interest

  CMS ownership
• Dickson Medical Associates, PC

  • Rural Health Clinic/Center
  • White Bluff, TN
  • NPI 1851805188

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Dickson Medical Associates, PC

  • Rural Health Clinic/Center
  • Dickson, TN
  • NPI 1881702199

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Dickson Medical Associates, PC

  • Family Medicine Physician
  • Dickson, TN
  • NPI 1972606218

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• Dickson Medical Associates PC

  • Family Medicine Physician
  • Dickson, TN
  • NPI 1568464873
  Medicare reassignment Care Compare group NPD
• Barfield Physician Services, PC

  • Neurology Physician
  • Murfreesboro, TN
  • NPI 1922844596
  Medicare reassignment Care Compare group
• Baptist Health Medical Group Inc

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922401611

  Neurology

  Medicare reassignment NPD
• Kings Daughters Medical Specialties Inc

  • Physical Medicine & Rehabilitation Physician
  • Prestonsburg, KY
  • NPI 1710215736
  Medicare reassignment NPD
• Dickson Medical Associates, PC

  • Family Nurse Practitioner
  • Lyles, TN
  • NPI 1912015108
  NPD
• Dickson Medical Associates, PC

  • Family Medicine Physician
  • Dickson, TN
  • NPI 1972606218
  NPD
• Baptist Health Medical Group Inc

  • Internal Medicine Physician
  • Elizabethtown, KY
  • NPI 1093338527
  NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD
• Black & Carpenter PSC

  • Internal Medicine Physician
  • Morehead, KY
  • NPI 1770557936
  NPD
• Kings Daughters Medical Specialties Inc

  • Neurology Physician
  • Ashland, KY
  • NPI 1558653618
  NPD
• Kings Daughters Medical Specialties Inc

  • Radiation Oncology Physician
  • Ashland, KY
  • NPI 1699565176
  NPD
• Kings Daughters Medical Specialties Inc

  • Cardiovascular Disease Physician
  • Ashland, KY
  • NPI 1972830404
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hti Memorial Hospital Corporation

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1295780476
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1386608149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR STE 209",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552856",
            "telephone_number": "615-446-5121",
            "fax_number": "615-446-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR STE 200",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552856",
            "telephone_number": "615-441-4520",
            "fax_number": "615-441-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHARI",
        "first_name": "ENAWGAW",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD60512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MDG Tennessee Clinical Entities PLLC
• Brian Meadow, PTA
• Willard Scott Meadows, CRNA
• Giacomo Mohondas Meeker, M.D.
• Holly Meeker, NP
• Shana Lane Meholchick, CRNA
• Jill D Mersman, ATC/L
• Mid-Cumberland Human Resource Agency
• Mid-State Oral Surgery & Implant Center, PC
• Middle Tennessee Imaging LLC

• Neurology Physician in Dickson, TN
• Providers in Dickson, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.