NPIMap

Individual provider Active NPI

Hardie V Sorrels III, M.D.

  • Internal Medicine Physician
  • Lebanon, TN
National Provider Identifier
1942314075
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18079 Issued in TN
Practice address
715B Castle Heights CT
Lebanon, TN 37087-2646
Phone
(629) 255-2274
Fax
(629) 255-4250
NPI assigned
Aug 18, 2006
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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 18079 TN Primary

Addresses

Primary practice location

715B Castle Heights CT
Lebanon, TN 37087-2646

Mailing address

222 22ND Ave N
Nashville, TN 37203-1870
Phone (629) 255-3486

Other identifiers 1

IdentifierTypeStateIssuer
3033052MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000324 TN Practitioner - Internal Medicine 2466474150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Medical Associates PCGroup PAC ID 4688651037, 162 clinicians

Practice addresses (Care Compare)

715 Castle Heights CT
Lebanon, TN 37087-2666
Phone (629) 255-2274

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18079TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Medical Associates PC Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Heritage Medical Associates PC CurrentSince Aug 15, 2022 Accepting new patients

Locations

715 Castle Heights Ct
Lebanon, TN 37087
Phone (629) 255-2274

715 Castle Heights Ct
#B
Lebanon, TN 37087
Phone (615) 443-0800

715 Castle Heights Ct
Ste B
Lebanon, TN 37087
Phone (615) 443-0800

222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620

Interoperability endpoints

  • Direct secure messaging: hardiesorrels@hma.allscriptsdirect.net
  • Direct secure messaging: hsorrelsiii484567@direct.vumc.org

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.

Hospital & facility affiliations 10

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1942314075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031870",
            "telephone_number": "629-255-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715B CASTLE HEIGHTS CT",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872646",
            "telephone_number": "629-255-2274",
            "fax_number": "629-255-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELS",
        "first_name": "HARDIE",
        "middle_name": "V",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "18079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3033052",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.