NPIMap

Organization Active NPI

Hospital Medicine Services of Tennessee PC

  • Hospitalist Physician
  • Lawrenceburg, IN
National Provider Identifier
1528433802
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
HOSPITAL MEDICINE SERVICES OF TENNESSEE PC
Practice address
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone
(812) 537-1010
NPI assigned
Dec 11, 2015
Last updated
Mar 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Dr. Randal L. Dabbs, MDNPI 1326095035
Title
President
Phone
(800) 424-3672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU
Surgical Physician Assistant 363AS0400X NU
Nurse Practitioner 363L00000X NU
Adult Health Nurse Practitioner 363LA2200X NU
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751

Mailing address

PO Box 638984
Cincinnati, OH 45263-8984
Phone (800) 424-3672

Other practice location 1

421 S Main St
Crossville, TN 38555-5048
Phone (931) 484-9511

Other practice location 2

1451 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 752-3456

Other identifiers 4

IdentifierTypeStateIssuer
7100406750MedicaidKY
7100399990MedicaidKY
Q018841MedicaidTN
201370030AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MO, IN, KY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20160114002673 TN Part B Supplier - Clinic/Group Practice 9234432881 Receives reassigned benefits from 391 practitioners
Practice locations: Sevierville, TN; Tazewell, TN; Oak Ridge, TN; Nashville, TN; Morristown, TN; Lenoir City, TN; Huntingdon, TN; Harriman, TN…
O20160531002246 MO Part B Supplier - Clinic/Group Practice 9234432881 Receives reassigned benefits from 23 practitioners
Practice locations: Jefferson City, MO; Jefferson Cty, MO
O20160714001751 IN Part B Supplier - Clinic/Group Practice 9234432881 Receives reassigned benefits from 40 practitioners
Practice locations: Scottsburg, IN
O20160803001623 KY Part B Supplier - Clinic/Group Practice 9234432881 Receives reassigned benefits from 117 practitioners
Practice locations: Versailles, KY; Paris, KY; Lebanon, KY; Georgetown, KY; Mayfield, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 571

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 571

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1528433802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638984",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638984",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WILSON CREEK RD",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470252751",
            "telephone_number": "812-537-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 S Main St",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385555048",
            "country_code": "US",
            "telephone_number": "931-484-9511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 N Gardner St",
            "address_purpose": "LOCATION",
            "city": "Scottsburg",
            "state": "IN",
            "postal_code": "471707751",
            "country_code": "US",
            "telephone_number": "812-752-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPITAL MEDICINE SERVICES OF TENNESSEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "DABBS",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-424-3672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100406750",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100399990",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018841",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201370030A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.