Active NPI
Crescent Medical Group PLLC
- Hospitalist Physician
- Nashville, TN
National Provider Identifier
1649576414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faiza Amin, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1522283 | Medicaid | TN | |
| 103G709628 | Other | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1790754646
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.