Individual provider Active NPI

Nassif Azzi, MD

  • Nephrology Physician
  • Hermitage, TN
National Provider Identifier
1801025820
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
58585 Issued in TN
Practice address
5653 Frist Blvd Ste 739
Hermitage, TN 37076-2066
Phone
(615) 628-8064
Fax
(877) 297-3060
NPI assigned
Jul 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0437040 KS
Nephrology Physician 207RN0300X 58585 TN Primary

Addresses

Primary practice location

5653 Frist Blvd Ste 739
Hermitage, TN 37076-2066

Mailing address

2201 Murphy Ave Ste 303
Nashville, TN 37203-1895
Phone (615) 628-8064

Other practice location 1

2201 Murphy Ave Ste 303
Nashville, TN 37203-1895
Phone (615) 628-8064

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nazzi@southernkidney.com

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
I20190131000779 TN Practitioner - Internal MedicinePractitioner - Nephrology 0749413508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Kidney Specialists PLCGroup PAC ID 2264671023, 8 clinicians

Practice addresses (Care Compare)

1648 Westgate Cir
Suite 100
Brentwood, TN 37027-8004
Phone (615) 628-8064

1725 Medical Ctr Pkwy
Suite 210
Murfreesboro, TN 37129-2249
Phone (615) 628-8064

2201 Murphy Ave
Suite 303
Nashville, TN 37203-1895
Phone (615) 628-8064

395 Wallace Rd
Suite 301
Nashville, TN 37211-8023
Phone (615) 628-8064

5653 Frist Blvd
Suite 739
Hermitage, TN 37076-2066
Phone (615) 628-8064

Hospital & facility affiliations

  • DaVita Woodbine Dialysis Dialysis facility, Nashville, TN, CCN 442743
  • DaVita Mt Juliet Dialysis Dialysis facility, Mount Juliet, TN, CCN 442738
  • DaVita Nashville Home Training Dialysis PD Dialysis facility, Nashville, TN, CCN 442699
  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Kidney Specialists, PLC Nephrology CurrentSince Apr 8, 2024 Accepting new patients

Locations

256 Seaboard Ln
Ste F101
Franklin, TN 37067
Phone (313) 820-8997

5653 Frist Blvd
Ste 739
Hermitage, TN 37076
Phone (613) 301-6720

2201 Murphy Ave
Ste 303
Nashville, TN 37203
Phone (615) 573-7478

395 Wallace Rd
Ste 301
Nashville, TN 37211
Phone (615) 834-1760

4230 Harding Pike
Ste 901
Nashville, TN 37205
Phone (615) 933-3452

Organizations & group practices 1

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 7

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": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1801025820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MURPHY AVE STE 303",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031895",
            "telephone_number": "615-628-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD STE 739",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762066",
            "telephone_number": "615-628-8064",
            "fax_number": "877-297-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Murphy Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031895",
            "country_code": "US",
            "telephone_number": "615-628-8064",
            "fax_number": "877-297-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZZI",
        "first_name": "NASSIF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-11",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "0437040",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "58585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nazzi@southernkidney.com",
            "affiliation": "N",
            "address_1": "5653 Frist Blvd Ste 739",
            "city": "Hermitage",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370762066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.