Individual provider Active NPI

Jill Lawton Heavrin, MD

  • Emergency Medicine Physician
  • Gallatin, TN
National Provider Identifier
1861549727
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
6159142 Issued in TN
Practice address
555 Hartsville Pike
Sumner Regional Medical Center
Gallatin, TN 37066
Phone
(615) 328-5203
NPI assigned
Jan 4, 2007
Last updated
Oct 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 6159142 TN Primary

Addresses

Primary practice location

555 Hartsville Pike
Sumner Regional Medical Center
Gallatin, TN 37066

Mailing address

3818 W End Ave Apt 305
Nashville, TN 37205-2467
Phone (407) 222-1181

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
I20090521000652 TN Practitioner - Emergency Medicine 4587713599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Miami, LM Miller School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Cooperative, IncGroup PAC ID 5496798399, 47 clinicians

Practice addresses (Care Compare)

275 Cumberland BND
Nashville, TN 37228-1805
Phone (866) 816-0433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44346TNMDPharmacist
6159142TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Cooperative, Inc CurrentSince Jan 4, 2026 Accepting new patients
Emergency Physicians at Sumner PLLC CurrentSince Jun 15, 2009 Accepting new patients

Locations

555 Hartsville Pike
Gallatin, TN 37066
Phone (615) 328-5067

1632 Gateway Blvd
Murfreesboro, TN 37129
Phone (615) 904-6490

275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1861549727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 W END AVE APT 305",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052467",
            "telephone_number": "407-222-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HARTSVILLE PIKE",
            "address_2": "SUMNER REGIONAL MEDICAL CENTER",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-328-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVRIN",
        "first_name": "JILL",
        "middle_name": "LAWTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "6159142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.