Hardin Emergency Group LLC
Organization Active NPI Emergency Medicine Physician · Savannah, TN
NPI 1972850477 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1972850477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- HARDIN EMERGENCY GROUP LLC
- Practice address
- 2006 Wayne Rd
Savannah, TN 38372-2236 - Phone
- (800) 893-9698
- NPI assigned
- Aug 14, 2012
- Organization subpart
- No
Authorized official
- Name
- Lisha C Falk
- Title
- VP of Contracting
- Phone
- (337) 609-1221
Practitioners 43
-
Tamer Akoury, MD
-
James Robert Biggers Jr., D.O.
-
Mark A Muiznieks, MD
-
Rishi Rane, M.D.
-
Allyson Anyanwu, M.D.
-
Borzou Azima, MD
-
Stephen Conley Greene, M.D.
-
Deborah Hopper, FNP
-
Tochukwu C. Ikejiani, M.D.
-
Brian Allen Lindsey, D.O.
-
Antonio Martinez, M.D.
-
Sue Miller, MD
-
Wayne Darrell Murray, M.D.
-
Anthony H. Ramirez, M.D.
-
Robert D Turner, M.D.
-
William Arthur Willis, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121112000554 | TN | Part B Supplier - Clinic/Group Practice | 2769633148 |
Receives reassigned benefits from 43 practitioners Practice locations: Savannah, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
2006 Wayne Rd
Savannah, TN 38372-2236
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (337) 354-1153
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1530659 | Medicaid | TN |
NPI Registry JSON
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1972850477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "337-354-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 WAYNE RD",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "383722236",
"telephone_number": "800-893-9698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARDIN EMERGENCY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-14",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A",
"authorized_official_last_name": "FALK",
"authorized_official_first_name": "LISHA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VP OF CONTRACTING",
"authorized_official_telephone_number": "337-609-1221"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1530659",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, TN
- Hardin County Regional Health Center
- Hardin County Regional Health Center
- Hardin County Regional Health Center
- Hardin County Regional Health Center
- Hardin County Skills, in.C
- Mary Katherine Hardwick
- Jennifer Ellen Harper
- Brandilyn Hart
- Eric Hart
- Tammy Hayes
All providers in Savannah, TN · Emergency Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.