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OLD HICKORY EMERGENCY PHYSICIANS
NPI 1679771240
Emergency Medicine - Emergency Medical Services in Madison, TN

Active since July 05, 2007
500 HOSPITAL DR, MADISON, TN 37115(615) 865-0300(615) 312-8317 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Old Hickory Emergency Physicians NPPES

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

OLD HICKORY EMERGENCY PHYSICIANS (NPI 1679771240) is a healthcare organization registered as an emergency medical services in Madison, Tennessee and active in the NPI registry since July 2007. The organization lists Jennifer Provasnik, Supervisor Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1679771240
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NameOLD HICKORY EMERGENCY PHYSICIANS
Location Address500 HOSPITAL DRMadison, TN 37115-5031
Mailing AddressPo Box 13858Philadelphia, PA 19101-3858 · (800) 355-0808 · Fax (215) 834-2862
Phone(615) 865-0300
Fax(615) 312-8317
Organization SubpartNo
Authorized OfficialJennifer ProvasnikSupervisor Of Provider Enrollment · (800) 355-0808
Enumeration DateJuly 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679771240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
500 HOSPITAL DR, Madison, TN 37115
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Other Identifiers 1

Medicaid3726452TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON ANESTHESIOLOGY, LLC
Anesthesiology
500 HOSPITAL DR
MADISON, TN 37115
Davidson County (615) 865-0300
TCMC MADISON-PORTLAND, INC.
Rehabilitation Unit
500 HOSPITAL DR
MADISON, TN 37115
Davidson County (615) 865-0300
HTI MEMORIAL HOSPITAL CORPORATION
Psychiatric Unit
500 HOSPITAL DR
MADISON, TN 37115
Davidson County (615) 865-0300
DR. LINDSAY KISHANNA EVANS-MITCHELL M.D.
Psychiatry & Neurology (Psychiatry)
500 HOSPITAL DR
MADISON, TN 37115
Davidson County (615) 769-5000
HTI MEMORIAL HOSPITAL CORPORATION
Psychiatric Unit
500 HOSPITAL DR
MADISON, TN 37115
Davidson County (615) 865-0300
TCMC MADISON-PORTLAND, INC.
Psychiatric Unit
500 HOSPITAL DR
MADISON, TN 37115
Davidson County (615) 865-0300
TCMC MADISON-PORTLAND, INC.
Rehabilitation Unit
500 HOSPITAL DR
MADISON, TN 37115
Davidson County (615) 865-0300
DEREK LEWIS ALLEN FNP
Nurse Practitioner
500 HOSPITAL DR
MADISON, TN 37115
Davidson County (615) 769-5000

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 Emergency Physicians's NPI number?

The NPI number for Old Hickory Emergency Physicians is 1679771240. It was assigned to this organization in the NPPES registry on July 5, 2007.

Where is Old Hickory Emergency Physicians located?

Old Hickory Emergency Physicians is located at 500 Hospital Dr, Madison, TN 37115. The listed phone number is (615) 865-0300.

What is Old Hickory Emergency Physicians's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Old Hickory Emergency Physicians was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.