Tennessee Oncology PLLC
Organization Active NPI Hematology & Oncology Physician · Nashville, TN
NPI 1023066149 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1023066149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- TENNESSEE ONCOLOGY PLLC
- Practice address
- 2004 Hayes St Ste 350
Nashville, TN 37203-2650 - Phone
- (615) 312-3333
- Fax
- (615) 320-7091
- NPI assigned
- May 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Pattie Douglas
- Title
- Payer Relations Manager
- Phone
- (615) 514-3042
Other NPIs on the same Medicare enrollment 5
Practitioners 52
-
Jesus G Berdeja, M.D.
-
Holly G Bushart, NP
-
Tod Raymond Bushman, DPM
-
Kyle Lawrence Casey, AGNP-C
-
David Chism, MD
-
Chelsea Elliott Collins, MSN, AGPCNP-C
-
Brooke E. Daniel, MD
-
Gretchen Drake, APN
-
Mandy Dye, APRN
-
Jimbob Faulk, M.D.
-
Erin Fennell, MSN, ANP, BC
-
Allison Flinn, NP
-
Victor G Gian, M.D.
-
Jennifer Ellen Harper, MSN, ACNP-BC, AOCNP
-
Lauren Hunt, NP
-
Chassity Jones, APRN, FNP-BC
-
Sylvia L Krueger, MD
-
Ruth E Lamar, M.D.
-
Joni Elaine Lee, PA
-
Janell Marie Lowe, ARNP
-
George Brandon Lynch, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031103000534 | TN | Part B Supplier - Clinic/Group Practice | 4688586134 |
Receives reassigned benefits from 475 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
250 25th Ave N
Ste 100
Nashville, TN 37203
Phone (615) 320-5090
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | Yes |
Addresses
Primary practice location
2004 Hayes St Ste 350
Nashville, TN 37203-2650
Mailing address
PO Box 440100
Nashville, TN 37244-0100
Phone (615) 329-0570
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3709319 | Medicaid | TN | |
| Q028629 | Medicaid | TN |
Other providers in Nashville, TN
- Tennessee Oncology Pharmacy Dispensing
- Tennessee Oncology Pharmacy Dispensing
- Tennessee Oncology Pharmacy Dispensing
- Tennessee Oncology Pharmacy Dispensing
- Tennessee Oncology Pharmacy Dispensing
- Tennessee Oncology PLLC
- Tennessee Oncology PLLC
- Tennessee Oncology PLLC
- Tennessee Oncology PLLC
- Tennessee Oncology PLLC
All providers in Nashville, TN · Hematology & Oncology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.