Individual provider Active NPI

Faiza Amin, MD

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1790754646
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36544 Issued in TN
Practice address
1412 County Hospital Rd
Nashville, TN 37218-3007
Phone
(615) 687-2521
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36544 TN Primary

Addresses

Primary practice location

1412 County Hospital Rd
Nashville, TN 37218-3007

Mailing address

107 Ashton Park Blvd
Franklin, TN 37067-6415
Phone (423) 341-8986

Other identifiers 2

IdentifierTypeStateIssuer
3876281MedicaidTN
64057227MedicaidKY

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
I20070615000450 TN Practitioner - Internal Medicine 8921901497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williamson Hospitalist ProgramGroup PAC ID 0042553158, 42 clinicians

Practice addresses (Care Compare)

4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone (615) 495-6700

Hospital & facility affiliations

  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36544TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Hospitalist Program CurrentSince Apr 1, 2019 Accepting new patients
Cogent Healthcare of Tennessee, PC Internal Medicine CurrentSince Jul 25, 2018 Accepting new patients
Inpatient Consultants of Tennessee, P.C. Internal Medicine Past Accepting new patients
Bristol Consultants PC Internal Medicine PastSince May 24, 2005 Accepting new patients

Locations

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

Organizations & group practices 4

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1790754646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ASHTON PARK BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676415",
            "telephone_number": "423-341-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 COUNTY HOSPITAL RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372183007",
            "telephone_number": "615-687-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "FAIZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "36544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3876281",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64057227",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.