Organization Active NPI

Mendrix Medical Associates of Tennessee PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1013805019
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MENDRIX MEDICAL ASSOCIATES OF TENNESSEE PC
Practice address
3348 William Bailey Dr
Nashville, TN 37207-4241
Phone
(213) 737-3301
Fax
(702) 977-1496
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Kacey Callison
Title
President
Phone
(725) 710-9224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3348 William Bailey Dr
Nashville, TN 37207-4241

Mailing address

8601 Lincoln Blvd Ste 180-567
Los Angeles, CA 90045-3554
Phone (213) 737-3301

Other names 1

  • Mendrix Med Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250815001997 TN Part B Supplier - Clinic/Group Practice 4981103140 Receives reassigned benefits from 9 practitioners
Practice locations: Franklin, TN; Nashville, TN; Hermitage, TN

National Provider Directory

National Provider Directory

Locations

8601 Lincoln Blvd
Ste 180567
Los Angeles, CA 90045
Phone (213) 347-9010

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1013805019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 LINCOLN BLVD STE 180-567",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453554",
            "telephone_number": "213-737-3301",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 WILLIAM BAILEY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372074241",
            "telephone_number": "213-737-3301",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDRIX MEDICAL ASSOCIATES OF TENNESSEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "CALLISON",
        "authorized_official_first_name": "KACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "725-710-9224"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mendrix Med",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mendrix Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.