DR. ALISSA CHRISTINE HART (MD) – Vascular Surgery Physician, NPI 1417342015

DR. ALISSA CHRISTINE HART (MD) is a healthcare provider. based in Germantown, Tennessee. specializing in Vascular Surgery Physician. They hold the professional credentials MD. They hold a License No. 125066666 (IL). The NPI Number for DR. ALISSA CHRISTINE HART (MD) is 1417342015

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALISSA CHRISTINE HART (MD)
NPI
1417342015
Phone
(901) 390-2930
Address
1385 W BRIERBROOK RD
Enumeration Date
31 March 2015
Last Update Date
18 September 2020

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
9013902930
Graduation Year
2015 (11 years ago)
PAC ID
9234431602
Group Practice PAC ID
9739423336
Professional Enrollment ID
I20200904001758
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for DR. ALISSA CHRISTINE HART (MD)

  • 1385 W BRIERBROOK RD

    GERMANTOWN, TN 381382208

    Phone: (901) 390-2930

    Fax: (901) 390-2940

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $4,399.

Total Amount is formed as General ($4,399) + Research ($0) + Ownership ($0) = $4,399.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Globus Medical, Inc. ($1,317).

Total Amount

$4,399

General + Research + Ownership

Payments

30

Total payment records

General Amount

$4,399

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200904001758IVascular SurgeryTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38138)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739423336View full group profile
NameSpecialtyState
Vascular SurgeryMI
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Vascular SurgeryAR
Nurse PractitionerAR
Vascular Surgery, General SurgeryTN
-TN
Nurse PractitionerMS
Nurse PractitionerTN

Reviews

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Frequently asked questions

How is DR. ALISSA CHRISTINE HART (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. ALISSA CHRISTINE HART (MD) with NPI 1417342015.
Is DR. ALISSA CHRISTINE HART (MD) still practicing?
DR. ALISSA CHRISTINE HART (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. ALISSA CHRISTINE HART (MD)?
For research purposes, treat DR. ALISSA CHRISTINE HART (MD) as Vascular Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. ALISSA CHRISTINE HART (MD) serve?
DR. ALISSA CHRISTINE HART (MD)'s listing highlights Germantown, Tennessee; more addresses can appear in NPPES.
Why does DR. ALISSA CHRISTINE HART (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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