Active NPI
Richard P Guerrant MD
- Internal Medicine Physician
- Covington, TN
National Provider Identifier
1720198104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD015822
- Legal business name
- RICHARD P GUERRANT MD
- Practice address
- 1995 Highway 51 South
Suite 111
Covington, TN 38019 - Phone
- (901) 475-6607
- Fax
- (901) 475-6612
- NPI assigned
- Aug 30, 2006
- 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
- Richard Putney Guerrant, MD
- Title
- Owner
- Phone
- (901) 475-6607
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD015822 | TN | Primary |
Addresses
Primary practice location
1995 Highway 51 South
Suite 111
Covington, TN 38019
Mailing address
PO Box 567
Covington, TN 38019
Phone (901) 475-6607
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3050723 | Medicaid | TN | |
| 116514 | Other | TN | UNISON HEALTHCARE |
| 165608 | Other | TN | TENNCARE SELECT |
National Provider Directory
National Provider DirectoryLocations
1995 Highway 51 S
Ste 111
Covington, TN 38019
Phone (901) 475-6607
Interoperability endpoints
- https://api.platform.athenahealth.com/3309/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Covington, TN
- NPI 1174729735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377475200000",
"number": "1720198104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 567",
"city": "COVINGTON",
"state": "TN",
"postal_code": "38019",
"telephone_number": "901-475-6607",
"fax_number": "901-475-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 HIGHWAY 51 SOUTH",
"address_2": "SUITE 111",
"city": "COVINGTON",
"state": "TN",
"postal_code": "38019",
"telephone_number": "901-475-6607",
"fax_number": "901-475-6612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD P GUERRANT MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2013-08-26",
"status": "A",
"authorized_official_last_name": "GUERRANT",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "PUTNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-475-6607",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD015822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3050723",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTHCARE",
"identifier": "116514",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE SELECT",
"identifier": "165608",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.