Individual provider Active NPI

Parveen B Makhni, MD

  • Internal Medicine Physician
  • Jasper, TN
National Provider Identifier
1669414090
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME49671 Issued in TN
Practice address
980 Highway 28
Suite 101
Jasper, TN 37347-3695
Phone
(423) 942-3409
Fax
(423) 942-3409
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME49671 FL
Internal Medicine Physician 207R00000X ME49671 TN Primary

Addresses

Primary practice location

980 Highway 28
Suite 101
Jasper, TN 37347-3695

Mailing address

980 Highway 28
Suite 101
Jasper, TN 37347-3695
Phone (423) 942-3409

Other identifiers 1

IdentifierTypeStateIssuer
ME49671OtherTNMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME49671TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Group, Inc PastSince Apr 8, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1669414090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 28",
            "address_2": "SUITE 101",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473695",
            "telephone_number": "423-942-3409",
            "fax_number": "423-942-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 28",
            "address_2": "SUITE 101",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473695",
            "telephone_number": "423-942-3409",
            "fax_number": "423-942-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKHNI",
        "first_name": "PARVEEN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME49671",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "ME49671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME49671",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TN

Sources for this page

Verify at the official NPI Registry.