Individual provider Active NPI

Louis Charles Frazier, M.D.

  • Emergency Medicine Physician
  • Cookeville, TN
National Provider Identifier
1962768416
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
52109 Issued in TN
Practice address
1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone
(931) 783-2334
NPI assigned
Apr 10, 2012
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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 52109 TN Primary

Addresses

Primary practice location

1 Medical Center Blvd
Cookeville, TN 38501-4294

Mailing address

1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone (931) 783-2334

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
I20150427000629 TN Practitioner - Emergency Medicine 8426377300 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Vanderbilt University Medical Center Emergency Medicine CurrentSince Apr 30, 2016 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Medical Observation Services LLC Emergency Medicine Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

Dept AT 40379
Atlanta, GA 31192

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

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

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

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.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1962768416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014294",
            "telephone_number": "931-783-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014294",
            "telephone_number": "931-783-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "LOUIS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "52109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.