Active NPI
Syria Hassan Heath, MD
- Family Medicine Physician
- Athens, TN
National Provider Identifier
1700807658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD 0000034333
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210210001409 | TN | Order and Referring Only - Family Practice | 7911187372 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 0000034333 | TN | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.