Individual provider Active NPI

Brian T Hawkins, MD

  • Emergency Medicine Physician
  • Paducah, KY
National Provider Identifier
1720038649
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
52193 Issued in TN
Practice address
1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone
(270) 444-2150
Fax
(270) 444-2985
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 38147 KY
Emergency Medicine Physician 207P00000X 52193 TN Primary

Addresses

Primary practice location

1530 Lone Oak Rd
Paducah, KY 42003-7901

Mailing address

PO Box 636961
Cincinnati, OH 45263-6961
Phone (513) 981-5130

Other practice location 1

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-8699

Other identifiers 1

IdentifierTypeStateIssuer
64046980MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170706001411 TN Practitioner - Emergency Medicine 9436056967 Reassigns benefits to 5 organizations
I20201028002440 MS Practitioner - Emergency Medicine 9436056967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-8336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52193TNMDEmergency Medicine Physician
TP706KYMDCritical Care Medicine (Internal Medicine) Physician
35908TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Aug 1, 2023 Accepting new patients
Ut Regional One Physicians Inc Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Mar 15, 2018 Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Kentuckiana Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Western Baptist Medical Ventures, Inc. Past Accepting new patients

Locations

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1720038649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636961",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636961",
            "telephone_number": "513-981-5130",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037901",
            "telephone_number": "270-444-2150",
            "fax_number": "270-444-2985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032807",
            "country_code": "US",
            "telephone_number": "901-545-8699",
            "fax_number": "901-545-8996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "BRIAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "38147",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "52193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64046980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.