Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old Hickory Emergency Physicians

Organization Emergency Medical Services (Emergency Medicine) Physician · NPI 1679771240

Old Hickory Emergency Physicians is an Emergency Medical Services (Emergency Medicine) Physician in Madison, Tennessee. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

500 Hospital Dr
Madison, TN 37115-5031
Phone: (615) 865-0300
Fax: (615) 312-8317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X

Record details

NPI number1679771240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Provasnik — Supervisor Of Provider Enrollment · (800) 355-0808
NPI enumeratedJuly 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 13858, Philadelphia, PA 19101-3858