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OLD HICKORY PSYCHIATRIC ASSN PLLC
NPI 1376634907
Psychiatry & Neurology - Psychiatry in Lebanon, TN

Active since September 27, 2006
706 CADET CT, LEBANON, TN 37087(615) 206-9111(615) 789-8315 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Old Hickory Psychiatric Assn Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD HICKORY PSYCHIATRIC ASSN PLLC (NPI 1376634907) is a healthcare organization registered as a psychiatry in Lebanon, Tennessee and active in the NPI registry since September 2006. The organization lists Don J Elazar, Chief Manager, as its authorized official.

NPPES Registry Identity

NPI1376634907
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameOLD HICKORY PSYCHIATRIC ASSN PLLC
Location Address706 CADET CTLebanon, TN 37087-2649
Mailing Address695 Nashville Pike 313Gallatin, TN 37066 · (615) 206-9111 · Fax (615) 206-9212
Phone(615) 206-9111
Fax(615) 789-8315
Organization SubpartNo
Authorized OfficialDon J ElazarChief Manager · (615) 206-9111
Enumeration DateSeptember 27, 2006
Last NPPES UpdateDecember 1, 20222 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1376634907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TN · 35261
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
706 CADET CT, Lebanon, TN 37087
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Other Identifiers 1

Medicaid3879766TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Old Hickory Psychiatric Assn Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Old Hickory Psychiatric Assn PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Don Elazar, MD
Psychiatry
NPI 1730370610
214 EAST MAIN STREET STE 200
Gallatin, TN 37066
(615) 206-9111
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Hickory Psychiatric Assn PLLC's NPI number?

The NPI number for Old Hickory Psychiatric Assn PLLC is 1376634907. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Old Hickory Psychiatric Assn PLLC located?

Old Hickory Psychiatric Assn PLLC is located at 706 Cadet Ct, Lebanon, TN 37087. The listed phone number is (615) 206-9111.

What is Old Hickory Psychiatric Assn PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Old Hickory Psychiatric Assn PLLC enrolled in Medicare?

Yes. Old Hickory Psychiatric Assn PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Old Hickory Psychiatric Assn PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Old Hickory Psychiatric Assn PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Old Hickory Psychiatric Assn PLLC was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.