Individual provider Active NPI

Alfred Samuel Callahan III, MD

  • Neurology Physician
  • Nashville, TN
National Provider Identifier
1649206715
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD009933 Issued in TN
Practice address
2000 Glen Echo Rd
Ste 122
Nashville, TN 37215-2857
Phone
(615) 297-5300
Fax
(615) 297-5301
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD009933 TN Primary

Addresses

Primary practice location

2000 Glen Echo Rd
Ste 122
Nashville, TN 37215-2857

Mailing address

2000 Glen Echo Rd
Ste 122
Nashville, TN 37215-2857
Phone (615) 297-5300

Other identifiers 3

IdentifierTypeStateIssuer
3187893MedicaidTN
7024OtherKYMEDICARE
64772494OtherKYUNISYS

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
I20080123000510 TN Practitioner - NeurologyPractitioner - Internal Medicine 9032014055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Vanderbilt University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Glen Echo Rd
Suite 122
Nashville, TN 37215-2857
Phone (615) 297-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9933TNMDDentist
MD009933TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stroke & Heart Attack Prevention Center, PLLC Neurology CurrentSince Jan 22, 2007 Accepting new patients

Locations

1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000

2000 Glen Echo Rd
Ste 122
Nashville, TN 37215
Phone (615) 297-5300

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 and National Provider Directory roles.

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1649206715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GLEN ECHO RD",
            "address_2": "STE 122",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152857",
            "telephone_number": "615-297-5300",
            "fax_number": "615-297-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GLEN ECHO RD",
            "address_2": "STE 122",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152857",
            "telephone_number": "615-297-5300",
            "fax_number": "615-297-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "ALFRED",
        "middle_name": "SAMUEL",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD009933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3187893",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7024",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISYS",
            "identifier": "64772494",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.