Kanthi Charan Narra, MD
Individual provider Active NPI Family Medicine Physician · Lewisburg, TN
NPI 1982829297 · NPPES record last updated May 19, 2012
Key facts
- NPI
- 1982829297
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 46122 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Maury Regional Hospital
Maury Regional Medical Group, Inc
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
- Amedisys Home Health Care
- NHC Homecare of Columbia
- Maury Regional Home Services
- Marshall Medical Center
- Maury Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.45 of 100
- Quality
- 42.88
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 74.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100929000694 | TN | Practitioner - Family Practice |
9638295488 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46122 | TN | MD | Geriatric Medicine (Family Medicine) Physician |
| 4301088652 | MI | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maury Regional Hospital | Current | Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Maury Regional Medical Group, Inc | Family Medicine | Current |
Accepting new patients |
| Maury Regional Hospital | Current |
Accepting new patients | |
| Maury Regional Hospital | Current |
Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Hospice and Palliative Medicine | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 4301088652 | MI | |
| Family Medicine Physician | 207Q00000X | 46122 | TN | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3710089 | Medicaid | TN |
Other providers in Lewisburg, TN
- Leslie Morrow
- Andrea L Morton
- Margaret Kimberly Murdock
- Joel Clayton Murphy
- Kendra Kiersten Myers-Willis
- Timothy A Nash
- Melissa A. Neal
- Jennifer Val Neel
- NHC Healthcare Lewisburg LLC
- NHC Healthcare Oakwood LLC
All providers in Lewisburg, TN · Family 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 May 19, 2012. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.