Individual provider Active NPI

Don J Elazar, MD

  • Psychiatry Physician
  • Gallatin, TN
National Provider Identifier
1730370610
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35261 Issued in TN
Practice address
214 East Main Street
Ste 200
Gallatin, TN 37066
Phone
(615) 206-9111
Fax
(615) 206-9212
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35261 TN Primary

Addresses

Primary practice location

214 East Main Street
Ste 200
Gallatin, TN 37066

Mailing address

695 Nashville Pike
#313
Gallatin, TN 37066
Phone (615) 206-9111

Other identifiers 1

IdentifierTypeStateIssuer
3726901MedicaidTN

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
I20041117001058 TN Practitioner - Psychiatry 3173586625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State of TennesseeGroup PAC ID 5698687077, 21 clinicians

Practice addresses (Care Compare)

221 Stewarts Ferry Pike
Nashville, TN 37214-3325
Phone (615) 902-7400

695 Nashville Pike
Suite 313
Gallatin, TN 37066-5417
Phone (615) 206-9111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35261TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee State F&a Payroll CurrentSince May 17, 2022 Accepting new patients
Old Hickory Psychiatric Assn PLLC Psychiatry CurrentSince Dec 17, 2004 Accepting new patients
State of Tennessee Current Accepting new patients

Locations

214 E Main St
Ste 200
Gallatin, TN 37066
Phone (615) 206-9111

214 E Main St
Ste B
Gallatin, TN 37066
Phone (615) 206-9111

695 Nashville Pike
#313
Gallatin, TN 37066

695 Nashville Pike
Ste 313
Gallatin, TN 37066
Phone (615) 206-9111

706 Cadet Ct
Lebanon, TN 37087
Phone (615) 206-9111

221 Stewarts Ferry Pike
Nashville, TN 37214
Phone (615) 902-7400

500 Deaderick St
Bldg 6TH
Nashville, TN 37242

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1730370610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 NASHVILLE PIKE",
            "address_2": "#313",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-206-9111",
            "fax_number": "615-206-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 EAST MAIN STREET",
            "address_2": "STE 200",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-206-9111",
            "fax_number": "615-206-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAZAR",
        "first_name": "DON",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "35261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3726901",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.