Individual provider Active NPI

Kanthi Charan Narra, MD

  • Family Medicine Physician
  • Lewisburg, TN
National Provider Identifier
1982829297
Registry record updated May 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46122 Issued in TN
Practice address
1090 N Ellington Pkwy
Suite 102
Lewisburg, TN 37091-2227
Phone
(931) 359-0019
Fax
(931) 359-7381
NPI assigned
Apr 13, 2007
Last updated
May 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 4301088652 MI
Family Medicine Physician 207Q00000X 46122 TN Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 46122 TN

Addresses

Primary practice location

1090 N Ellington Pkwy
Suite 102
Lewisburg, TN 37091-2227

Mailing address

854 W James Campbell Blvd
Suite 303
Columbia, TN 38401-4659
Phone (931) 379-0019

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
I20100929000694 TN Practitioner - Family PracticePractitioner - Geriatric Medicine 9638295488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Maury Regional HospitalGroup PAC ID 4688569718, 31 clinicians
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

1080 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone (931) 359-6241

1090 N Ellington Pkwy
Suite 102
Lewisburg, TN 37091-2227
Phone (931) 359-0019

617 W Main St
Hohenwald, TN 38462-1355
Phone (931) 796-4901

854 W James Campbell
Suite 303
Columbia, TN 38401-4672

854 W James Campbell Blvd
Columbia, TN 38401-4672
Phone (931) 388-8779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.45 of 100Reported as group
Quality
42.88
Promoting interoperability
77
Improvement activities
40
Cost
74.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46122TNMDGeriatric Medicine (Family Medicine) Physician
4301088652MIMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Current Accepting new patients
Maury Regional Medical Group, Inc Family Medicine CurrentSince Jul 1, 2010 Accepting new patients
Maury Regional Hospital Marshall Medical Center Hospice and Palliative Medicine CurrentSince Jul 1, 2010 Accepting new patients
Maury Regional Hospital CurrentSince May 1, 2016 Accepting new patients
Maury Regional Hospital Current Accepting new patients
Maury Regional Hospital CurrentSince May 1, 2016 Accepting new patients

Locations

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901

1090 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091
Phone (931) 359-0019

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

Organizations & group practices 6

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337385600000",
    "number": "1982829297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W JAMES CAMPBELL BLVD",
            "address_2": "SUITE 303",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-379-0019",
            "fax_number": "931-379-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N ELLINGTON PKWY",
            "address_2": "SUITE 102",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912227",
            "telephone_number": "931-359-0019",
            "fax_number": "931-359-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARRA",
        "first_name": "KANTHI CHARAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301088652",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "46122",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "46122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.