Individual provider Active NPI

Tara Newton, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Lebanon, TN
National Provider Identifier
1003883588
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
31311 Issued in TN
Practice address
404 N Castle Heights Ave Ste F
Lebanon, TN 37087-1512
Phone
(615) 784-4140
Fax
(615) 784-4139
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 31311 TN
Addiction Medicine (Internal Medicine) Physician 207RA0401X 31311 TN Primary

Addresses

Primary practice location

404 N Castle Heights Ave Ste F
Lebanon, TN 37087-1512

Mailing address

6008 Foxborough SQ E
Brentwood, TN 37027-5701
Phone (615) 598-0802

Other identifiers 1

IdentifierTypeStateIssuer
1503976MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040826000183 TN Practitioner - Internal Medicine 6406820299 Reassigns benefits to 1 organization
I20250418000841 TN Practitioner - Addiction MedicinePractitioner - Internal MedicinePractitioner - Pediatric Medicine 6406820299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31311TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Recovery Center of Middle Tennessee, LLC Addiction Medicine CurrentSince Mar 1, 2020 Accepting new patients
Cedar Recovery of Middle Tennessee, LLC CurrentSince Mar 1, 2020 Accepting new patients
Mental Health Cooperative, Inc CurrentSince Apr 1, 2025 Accepting new patients
Applegate Health Services of Tennessee, Inc Past Accepting new patients

Locations

1405 W Baddour Pkwy
Ste 101
Lebanon, TN 37087
Phone (615) 257-6844

2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110

5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549

1632 Gateway Blvd
Murfreesboro, TN 37129
Phone (615) 904-6490

275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBJCBA/Endpoint/IBJCBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1003883588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 FOXBOROUGH SQ E",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275701",
            "telephone_number": "615-598-0802",
            "fax_number": "615-622-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N CASTLE HEIGHTS AVE STE F",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871512",
            "telephone_number": "615-784-4140",
            "fax_number": "615-784-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "31311",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TN",
            "license": "31311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1503976",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.