Emergi-Trust PC – Emergency Medicine Physician, NPI 1497725873
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Emergi-Trust PC
PO BOX 680189
FRANKLIN, TN 370680189
Phone: (877) 346-2211
Fax: (626) 623-1227
Type: Mailing
4321 CAROTHERS PKWY
FRANKLIN, TN 370675909
Phone: (855) 302-0550
Type: Location
PO BOX 966
INDIANAPOLIS, IN 462060966
Phone: (877) 346-2211
Fax: (626) 623-1227
Type: Mailing
Clarksville Post Office, Madison Street, 517 Madison Street, Clarksville, Montgomery County, Middle Tennessee, Tennessee, 37040, United States
CLARKSVILLE, TN 370433330
Phone: (931) 647-5034
Fax: (931) 552-6663
Type: Mailing
South Old Carothers Road, Franklin, Williamson County, Middle Tennessee, Tennessee, 37068, United States
FRANKLIN, TN 370675822
Phone: (615) 791-2682
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2003-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (283 days ago).
Enrollment records
1
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031201000340 | O | Clinic/Group Practice | TN | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 37068)
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