Individual provider Active NPI

Christopher J Andershock, MD

  • Emergency Medicine Physician
  • Cordova, TN
National Provider Identifier
1548217524
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36690 Issued in TN
Practice address
1585 Pisgah Rd
Cordova, TN 38016-5407
Phone
(901) 337-0961
NPI assigned
May 27, 2006
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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 36690 TN Primary

Addresses

Primary practice location

1585 Pisgah Rd
Cordova, TN 38016-5407

Mailing address

1585 Pisgah Rd
Cordova, TN 38016-5407
Phone (901) 337-0961

Other identifiers 5

IdentifierTypeStateIssuer
00126505MedicaidMS
3879163MedicaidTN
P00232038OtherTNRAILROAD MEDICARE
4041777OtherTNBLUE CROSS
156279001MedicaidAR

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
I20031203000585 TN Practitioner - Emergency Medicine 4688579618 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Missouri, Columbia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians

Practice addresses (Care Compare)

355 New Shackle Island Rd
Hendersonville Medical Center
Hendersonville, TN 37075-2479
Phone (615) 338-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36690TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Creek Emergency Group, PC Emergency Medicine CurrentSince Jan 9, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Southland TN Emergency Medical Services LLC Emergency Medicine CurrentSince Feb 3, 2025 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Sep 26, 2024 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
St Francis Emergency Group LLC Emergency Medicine PastSince Dec 1, 2006 Accepting new patients
Caddoes Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Tyler Emergency Physicians Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

436 Central Ave W
Jamestown, TN 38556
Phone (931) 752-5762

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

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

Interoperability endpoints

  • Direct secure messaging: christopher.andershock.1@16055.direct.athenahealth.com

Organizations & group practices 10

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 2

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1548217524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 PISGAH RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165407",
            "telephone_number": "901-337-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 PISGAH RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165407",
            "telephone_number": "901-337-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSHOCK",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "36690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126505",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3879163",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00232038",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4041777",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156279001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.