Individual provider Active NPI

Shivani Bhatnagar, M.D.

  • Emergency Medicine Physician
  • Jackson, TN
National Provider Identifier
1821529546
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME158702 Issued in FL
Practice address
294 Summar Dr
Jackson, TN 38301-3915
Phone
(731) 541-4755
NPI assigned
Mar 23, 2017
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME158702 FL Primary
Family Medicine Physician 207Q00000X 61390 TN

Addresses

Primary practice location

294 Summar Dr
Jackson, TN 38301-3915

Mailing address

11002 Avery Arbor LN
Cypress, TX 77433-5333
Phone (404) 667-4721

Other practice location 1

3209 York Dr
Edmond, OK 73034-0407
Phone (404) 667-4721

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
I20200820002317 TN Practitioner - Family Practice 7911323969 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians
Emergency Medical Care Facilities PCGroup PAC ID 6103837877, 57 clinicians
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (615) 768-2500

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

7137 236TH Ave
Salem, WI 53168-8975
Phone (262) 925-5060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61390TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 4, 2024 Accepting new patients
Emergency Medical Care Facilities PC Emergency Medicine CurrentSince Sep 15, 2020 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 3, 2025 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Jan 17, 2024 Accepting new patients

Locations

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135

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

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

620 Skyline Dr
Jackson, TN 38301
Phone (731) 425-5000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

4039 Highland St
Ste 1
Milan, TN 38358
Phone (731) 723-3668

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

Interoperability endpoints

  • Direct secure messaging: sbhatnagar20437@directepic.wth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1821529546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11002 AVERY ARBOR LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335333",
            "telephone_number": "404-667-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013915",
            "telephone_number": "731-541-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3209 York Dr",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730340407",
            "country_code": "US",
            "telephone_number": "404-667-4721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATNAGAR",
        "first_name": "SHIVANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME158702",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "61390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.