Individual provider Active NPI

Ervin Garcia, FNP-BC

  • Family Nurse Practitioner
  • Antioch, TN
National Provider Identifier
1649094988
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
37649 Issued in TN
Practice address
4071 Cane Ridge Pkwy Ste 112
Antioch, TN 37013-6043
Phone
(615) 731-8390
Fax
(615) 731-8391
NPI assigned
Nov 13, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 37649 TN Primary
Registered Nurse 163W00000X 274652 TN

Addresses

Primary practice location

4071 Cane Ridge Pkwy Ste 112
Antioch, TN 37013-6043

Mailing address

4071 Cane Ridge Pkwy Ste 112
Antioch, TN 37013-6043

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213000867 TN Practitioner - Nurse Practitioner 2062942543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Medical Group-Southern Hills IncGroup PAC ID 0244225621, 23 clinicians

Practice addresses (Care Compare)

4071 Cane Ridge Pkwy
Suite 112
Antioch, TN 37013-2971
Phone (615) 731-8390

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
274652TNMDRegistered Nurse
37649TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Medical Group-Southern Hills Inc Multi-Specialty CurrentSince Jan 26, 2025 Accepting new patients

Locations

4071 Cane Ridge Pkwy
Ste 112
Antioch, TN 37013
Phone (615) 731-8390

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

397 Wallace Rd
Ste 100
Nashville, TN 37211
Phone (615) 834-6166

Interoperability endpoints

  • Direct secure messaging: ervin.garcia@hca1.eclinicaldirectplus.com

Organizations & group practices 1

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": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1649094988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 CANE RIDGE PKWY STE 112",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370136043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 CANE RIDGE PKWY STE 112",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370136043",
            "telephone_number": "615-731-8390",
            "fax_number": "615-731-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ERVIN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37649",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "274652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.