Organization Active NPI

Crescent Medical Group PLLC

  • Hospitalist Physician
  • Nashville, TN
National Provider Identifier
1649576414
Registry record updated Apr 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
CRESCENT MEDICAL GROUP PLLC
Practice address
1412 County Hospital Rd
Nashville, TN 37218-3007
Phone
(615) 687-2521
NPI assigned
Jan 26, 2011
Last updated
Apr 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2011

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

Authorized official

Name
Faiza Amin, MDNPI 1790754646
Title
Dr
Phone
(615) 807-0562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

1412 County Hospital Rd
Nashville, TN 37218-3007

Mailing address

107 Ashton Park Blvd
Franklin, TN 37067-6415

Other identifiers 2

IdentifierTypeStateIssuer
1522283MedicaidTN
103G709628OtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301788800000",
    "number": "1649576414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ASHTON PARK BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 COUNTY HOSPITAL RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372183007",
            "telephone_number": "615-687-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-04-03",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "FAIZA",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "615-807-0562",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522283",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103G709628",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.