Individual provider Active NPI

Syria Hassan Heath, MD

  • Family Medicine Physician
  • Athens, TN
National Provider Identifier
1700807658
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 0000034333 Issued in TN
Practice address
1320 Decatur Pike
Athens, TN 37303-2418
Phone
(423) 746-1415
Fax
(423) 745-6413
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 0000034333 TN Primary

Addresses

Primary practice location

1320 Decatur Pike
Athens, TN 37303-2418

Mailing address

1320 Decatur Pike
Athens, TN 37303-2418
Phone (423) 746-1415

Other practice location 1

9031 Cross Park Dr
Knoxville, TN 37923-4602
Phone (865) 545-4591 ext. 269

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
I20210210001409 TN Order and Referring Only - Family PracticePractitioner - Family Practice 7911187372

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 0000034333TNMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1700807658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 DECATUR PIKE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032418",
            "telephone_number": "423-746-1415",
            "fax_number": "423-745-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 DECATUR PIKE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032418",
            "telephone_number": "423-746-1415",
            "fax_number": "423-745-6413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9031 Cross Park Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234602",
            "country_code": "US",
            "telephone_number": "865-545-4591 x269",
            "fax_number": "865-545-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATH",
        "first_name": "SYRIA",
        "middle_name": "HASSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD 0000034333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.