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DR. PRASHANTH SWAMY M.D.
NPI 1851779177
Emergency Medicine in Smithville, TN

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment
520 W MAIN ST, SMITHVILLE, TN 37166(615) 215-5000 Get Directions Write a Review

NPPES record last updated: November 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2021, Jan 17, 2021, Oct 2, 2018 (3 updates tracked since 2018).

About Dr. Prashanth Swamy M.d. NPPES

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

DR. PRASHANTH SWAMY M.D. (NPI 1851779177) is an individual emergency medicine provider in Smithville, Tennessee, licensed in Oregon (MD187578) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Ohio State University College Of Medicine (2015).

NPPES Registry Identity

NPI1851779177
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PRASHANTH SWAMYCredential: M.D.
Location Address520 W MAIN STSmithville, TN 37166-1138
Mailing Address818 19th Ave S Apt 1131Nashville, TN 37203-3778 · (513) 490-8201
Phone(615) 215-5000
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2015
Enumeration DateMay 7, 2015
Last NPPES UpdateNovember 13, 20213 updates tracked since enumeration
NPPES CertifiedNovember 13, 2021
✔ NPI 1851779177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OR · MD187578
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
520 W MAIN ST, Smithville, TN 37166
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prashanth Swamy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496055857
PECOS Enrollment IDI20220615000863, I20250121001346
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
225 services217 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
148 services145 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
100 services100 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
63 services62 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin County
Emergency services

Morgan Medical Center

Critical Access Hospitals · Madison, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111304
Location1740 Lions Club RoadMadison, GA 30650 · Morgan County
Emergency services

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37166 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

MRS. DONNA IRENE LAWSON PTA
Physical Therapy Assistant
520 W MAIN ST
SMITHVILLE, TN 37166
Dekalb County (615) 215-5470
CALEB B CANTRELL MD
Emergency Medicine
520 W MAIN ST
SMITHVILLE, TN 37166
Dekalb County (615) 215-5000
ANDREW AARON JONES CRNA
Nurse Anesthetist, Certified Registered
520 W MAIN ST
SMITHVILLE, TN 37166
Dekalb County (615) 215-5000
CANNONB COUNTY HOSPITAL, LLC
Medicare Defined Swing Bed Unit
520 W MAIN ST
SMITHVILLE, TN 37166
Dekalb County (615) 215-5300
AVARIE ELIZABETH MAYNARD PTA
Physical Therapy Assistant
520 W MAIN ST
SMITHVILLE, TN 37166
Dekalb County (615) 215-5470
DR. ROBERT REED PITTS IV MD
Emergency Medicine
520 W MAIN ST
SMITHVILLE, TN 37166
Dekalb County (615) 215-5000
MELODY ANDERSON
Nurse Practitioner (Family)
520 W MAIN ST
SMITHVILLE, TN 37166
Dekalb County (615) 215-5000
SMITHVILLE EMERGENCY SERVICES, LLC
Nurse Practitioner
520 W MAIN ST
SMITHVILLE, TN 37166
Dekalb County (615) 215-5000

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 Prashanth Swamy's NPI number?

The NPI number for Prashanth Swamy is 1851779177. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Prashanth Swamy located?

Prashanth Swamy practices at 520 W Main St, Smithville, TN 37166. The listed phone number is (615) 215-5000.

What is Prashanth Swamy's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Prashanth Swamy enrolled in Medicare?

Yes. Prashanth Swamy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Prashanth Swamy accept?

Health plans from Alliant Health Plans, Inc. list Prashanth Swamy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prashanth Swamy affiliated with any hospitals?

According to CMS data, Prashanth Swamy is affiliated with Northeast Georgia Medical Center, Inc, Ngmc Barrow, LLC, Northeast Georgia Medical Center Lumpkin, Morgan Medical Center and Singing River Gulfport.

When was this NPI record last updated?

The NPPES record for Prashanth Swamy was last updated on November 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.