Active NPI
Douglas Adkisson, MD
- Hospitalist Physician
- Greeneville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 42193
- Practice address
- 401 Takoma Ave
Greeneville, TN 37743-4647 - Phone
- (423) 278-1743
- Fax
- (423) 278-1930
- NPI assigned
- Jan 4, 2007
- Last updated
- Jun 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42193 | TN | |
| Cardiovascular Disease Physician | 207RC0000X | 42193 | TN | |
| Hospitalist Physician | 208M00000X | 42193 | TN | Primary |
Addresses
Primary practice location
401 Takoma Ave
Greeneville, TN 37743-4647
Mailing address
PO Box 1869
Attn: Danielle Bolick, Provider Enrollment
Fletcher, NC 28732-1869
Phone (828) 687-5616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001417 | Medicaid | TN | |
| 4309055 | Other | TN | BCBST |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Vanderbilt University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1559 Sparta St
McMinnville, TN 37110-1316
Phone (931) 815-4000
1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4685
2000 Church St
Nashville, TN 37236-0001
300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400
4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 222-6977
4230 Harding Pike
Nashville, TN 37205-2018
4230 Harding Rd
Suite 202
Nashville, TN 37205-2098
Phone (615) 354-5930
789 Old Hickory Blvd
Brentwood, TN 37027-4504
Phone (615) 565-6870
791 Old Hickory Blvd
Brentwood, TN 37027-4504
Phone (629) 888-5125
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42193 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Internal Medicine | Current | Accepting new patients |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Apogee Medical Group Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Hospitalists at Stonecrest LLC | Past | Accepting new patients | |
| Saint Thomas West Hospital | Past | Accepting new patients | |
| Tennessee Heart and Lung Institute PLC | Past | Accepting new patients | |
| Clarksville Physician Services, LLC | Past | Accepting new patients |
Locations
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
300 20th Ave N
Fl 9
Nashville, TN 37203
391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253
Interoperability endpoints
- douglas.adkisson.1@7654.direct.athenahealth.com
Organizations & group practices 7
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.
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- General Practice Physician
- Scottsdale, AZ
- NPI 1578717682
Internal Medicine, TN
-
dba Baptist Sports Medicine
- Clinical Neuropsychologist
- Nashville, TN
- NPI 1558506980
-
dba Dover Medical Clinic
- Rural Health Clinic/Center
- Dover, TN
- NPI 1992077077
-
- Specialist
- Smyrna, TN
- NPI 1356511893
-
dba Ascension Saint Thomas Hospital
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
-
- Specialist
- Clarksville, TN
- NPI 1699802371
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henderson County Community Hospital
- General Acute Care Hospital
- Lexington, TN
- NPI 1255302923
-
dba Ascension Saint Thomas River Park
- General Acute Care Hospital
- McMinnville, TN
- NPI 1518346469
-
dba Ascension Saint Thomas River Park
- Ambulatory Surgical Clinic/Center
- McMinnville, TN
- NPI 1558742304
Hospital
-
dba Ascension Saint Thomas Rutherford
- General Acute Care Hospital
- Murfreesboro, TN
- NPI 1164590386
-
dba Ascension Saint Thomas Hospital
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
-
dba West Tennessee Healthcare County Hospital
- General Acute Care Hospital
- Paris, TN
- NPI 1497750244
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": "1434585600000",
"number": "1902953896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1869",
"address_2": "ATTN: DANIELLE BOLICK, PROVIDER ENROLLMENT",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287321869",
"telephone_number": "828-687-5616",
"fax_number": "828-650-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 TAKOMA AVE",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377434647",
"telephone_number": "423-278-1743",
"fax_number": "423-278-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADKISSON",
"first_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "42193",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "42193",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "42193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3001417",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4309055",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.