Individual provider Active NPI

Hemachandran P Nair, M.D.

  • Cardiovascular Disease Physician
  • Douglas, GA
National Provider Identifier
1750374294
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
024996 Issued in GA
Practice address
200 Doctors Dr
Suite 106
Douglas, GA 31533-2201
Phone
(912) 384-3338
Fax
(912) 384-8214
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024996 GA
Cardiovascular Disease Physician 207RC0000X 024996 GA Primary

Addresses

Primary practice location

200 Doctors Dr
Suite 106
Douglas, GA 31533-2201

Mailing address

200 Doctors Dr
Ste S
Douglas, GA 31533-2201
Phone (912) 384-2353

Other practice location 1

1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900

Other identifiers 1

IdentifierTypeStateIssuer
024996OtherGASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050824000105 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406887033 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee County Hospitalist Physicians LLCGroup PAC ID 1153696117, 17 clinicians
CRH Physician Practices, LLCGroup PAC ID 5193727964, 38 clinicians

Practice addresses (Care Compare)

1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 383-7826

200 Doctors Dr
Suite S
Douglas, GA 31533-2203
Phone (912) 292-0658

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Regional Medical Center CurrentSince Jan 1, 1995 Accepting new patients
24 On Physicians, PC CurrentSince Jun 12, 2015 Accepting new patients
CRH Physician Practices, LLC CurrentSince Jul 1, 2017 Accepting new patients
Coffee County Hospitalist Physicians, LLC CurrentSince Jan 2, 2018 Accepting new patients
24 On Physicians, P.C. CurrentSince Jun 12, 2015 Accepting new patients
Coffee Regional Medical Center, Inc Current Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Jan 1, 1995 Accepting new patients
Douglas Medical Specialist Internal Medicine CurrentSince Sep 15, 2005 Accepting new patients
D. Conrad Harper, MD LLC Internal Medicine Past Accepting new patients
Phoebe Physician Group, Inc Past Accepting new patients
CRH Physician Practices LLC Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

200 Doctors Dr
Ste S
Douglas, GA 31533
Phone (912) 292-0658

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

200 Doctors Dr
Ste 106
Douglas, GA 31533
Phone (912) 384-3338

200 Doctors Dr
Ste N
Douglas, GA 31533
Phone (912) 384-3338

1100 Ward Street Ext W
Douglas, GA 31533
Phone (912) 384-1470

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1508 Tebeau St
Waycross, GA 31501
Phone (912) 383-6575

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21809/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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 1

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750374294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DR",
            "address_2": "STE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332201",
            "telephone_number": "912-384-2353",
            "fax_number": "912-383-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DR",
            "address_2": "SUITE 106",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332201",
            "telephone_number": "912-384-3338",
            "fax_number": "912-384-8214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Ocilla Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332207",
            "country_code": "US",
            "telephone_number": "912-384-1900",
            "fax_number": "912-383-5667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIR",
        "first_name": "HEMACHANDRAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "024996",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "024996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "024996",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.