Benjamin S Heavrin, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

41327 Issued in TN

Practice address

1700 Medical Center Pkwy
St. Thomas Rutherford Hospital
Murfreesboro, TN 37129

Phone

(615) 329-4020

Fax

(615) 327-5475

NPI assigned

Aug 20, 2006

Last updated

Sep 5, 2014By the provider in NPPES

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 TN, KY2 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

Emergency Medicine

Education

Vanderbilt University School of Medicine, 2004

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)

Hospital & facility affiliations

• Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
• Metro Nashville General Hospital Hospital, Nashville, TN, CCN 440111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment Care Compare group NPD
• Middle Tennessee Emergency Physicians PC

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1194758979
  Medicare reassignment NPD
• Mindcare Solutions PC

  • Psychiatry Physician
  • Nashville, TN
  • NPI 1457015091
  Medicare reassignment NPD
• Emergency Physicians at Sumner PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gallatin, TN
  • NPI 1538149521
  Medicare reassignment
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1902858137
  NPD (past)
• Sycamore Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1346264975
  NPD (past)
• Ky-I Medical Services, P.S.C.

  • Physician Assistant
  • Frankfort, KY
  • NPI 1336586932
  NPD (past)

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

• Clarksville Health System, LLC

  dba Tennova Healthcare-Clarksville

  • General Acute Care Hospital
  • Clarksville, TN
  • NPI 1285689794
  Care Compare affiliation
• Nashville General Hospital

  dba Metropolitan Nashville General Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1568551455
  Care Compare affiliation

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1588779698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VANTAGE WAY STE B240",
            "address_2": "MIDDLE TENNESSEE EMERGENCY PHYSICIANS, PC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281562",
            "telephone_number": "615-329-4020",
            "fax_number": "615-327-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL CENTER PKWY",
            "address_2": "ST. THOMAS RUTHERFORD HOSPITAL",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-329-4020",
            "fax_number": "615-327-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVRIN",
        "first_name": "BENJAMIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "41327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health4Life Chiropractic, Inc
• Healthlinktransport.LLC
• Healthy Habits
• Healthy Kids, LLC
• Heart of Tennessee Wellness Inc.
• Heidi Heckendorf, PHARM.D.
• Logan William Heckert, DPT
• Natalie Heidelberg, PHD
• Alisha Heil
• Brianna Heitmann

• Emergency Medicine Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.