OrganizationActive
Old Hickory Emergency Physicians
NPI 1679771240 · Emergency Medical Services (Emergency Medicine) Physician · Madison, TN
Provider details
- NPI number
- 1679771240
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Provasnik, Supervisor of Provider Enrollment(800) 355-0808
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
500 Hospital Dr
Madison, TN 37115-5031
Phone: (615) 865-0300
Fax: (615) 312-8317
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 13858
Philadelphia, PA 19101-3858
Registry dates
- Enumerated
- 2007-07-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.