Mid TN Clinic PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MID TN CLINIC PLLC

Doing business as

First Care Nashville

Practice address

3413 Nolensville Pike
Nashville, TN 37211-2909

Phone

(615) 569-4067

NPI assigned

Jun 27, 2024

Last updated

Jun 27, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bola Gabriel, PA-CNPI 1376079731

Title

Owner/Ceo

Phone

(615) 569-4067

Specialties & licenses 5

Addresses

Other names 1

• FIRST CARE NASHVILLE Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bola Gabriel

  • Physician Assistant
  • Antioch, TN
  • NPI 1376079731
  Medicare reassignment Care Compare group Authorized official
• Ramy Aziz, MBCHB, MSPAS, PA-C

  • Physician Assistant
  • Nashville, TN
  • NPI 1760012058
  Medicare reassignment Care Compare group
• Marina Abraham, PA-C

  • Physician Assistant
  • Nashville, TN
  • NPI 1316696370
  Medicare reassignment
• Engy Bandary

  • Physician Assistant
  • Nashville, TN
  • NPI 1649809658
  Medicare reassignment
• Lindsey S Keenum

  • Physician Assistant
  • Chattanooga, TN
  • NPI 1336531565
  Medicare reassignment
• Rennee Nagra Dhillon, MD

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1952396921
  NPD (past)
• Kay Son, MD

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1992889471
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1003651563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 NOLENSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112909",
            "telephone_number": "615-569-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 NOLENSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112909",
            "telephone_number": "615-569-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID TN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "BOLA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "615-569-4067",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST CARE NASHVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mid Cumberland Community Services Agency
• Mid South Anesthesia PC
• Mid State Oncology& Hematology
• Mid Tennessee Neonatology Associates PC
• Mid TN Clinic LLC
• Mid-Cumberland Human Resource Agency
• Mid-Cumberland Human Resource Agency
• Mid-South Home Care Services, LLC (Empatia Palliative Care)
• Mid-South Medical Partners LLC
• Mid-State Cardiology Associates, P.C.

• Urgent Care Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Urgent Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.