Charles Hunter Prejean, MD
Individual provider Active NPI Internal Medicine Physician · Hohenwald, TN
NPI 1780264671 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1780264671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 71378 (TN)
- Practice address
- 617 W Main St
Hohenwald, TN 38462-1355 - Phone
- (931) 796-4901
- NPI assigned
- Apr 13, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Maury Regional Hospital
Practice addresses (Care Compare)
617 W Main St
Hohenwald, TN 38462-1355
Phone (931) 796-4901
Hospital & facility affiliations
- Tennessee Quality Care - Home Health
- NHC Homecare of Columbia
- Maury Regional Home Services
- Maury Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241118000063 | TN | Practitioner - Internal Medicine | 2668906389 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71378 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maury Regional Hospital | Current |
Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Maury Regional Hospital | Current |
Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients |
Locations
854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779
617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 71378 | TN | Yes |
Addresses
Primary practice location
617 W Main St
Hohenwald, TN 38462-1355
Mailing address
120 Villa Dr
Westlake, LA 70669-5909
Phone (337) 309-1231
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cprejean@sgu.edu | Direct | |
| Direct Messaging Address | charles-prejean@smh.com | Direct |
Other providers in Hohenwald, TN
- Christian Peery
- Jeffrey David Peery
- Diane Catherine Perry
- Darla J Pinckley
- Ashley Pollock
- Don Marcus Price
- Jayanna Kaylee Qualls
- Amy Michelle Renfroe
- Tamitha Rhinehart
- Misti Lane Risner
All providers in Hohenwald, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.