Carolina Iom, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CAROLINA IOM, LLC

Practice address

1801 W End Ave
Suite 1610
Nashville, TN 37203-2526

Phone

(615) 328-6075

Fax

(615) 457-1447

NPI assigned

Aug 28, 2015

Last updated

Feb 22, 2017By 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

Brian McCollum

Title

President & Ceo

Phone

(877) 396-3161

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1023485729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680866",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370680866",
            "telephone_number": "615-928-6075",
            "fax_number": "615-457-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W END AVE",
            "address_2": "SUITE 1610",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032526",
            "telephone_number": "615-328-6075",
            "fax_number": "615-457-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA IOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "877-396-3161"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Carney, PT, DPT
• Leah Michelle Carney
• Paula Gale Carney, CRNA
• Susan W. Caro, MSN, RNC, APNG
• Carol's Caring and Compassionate Angels
• Caroline H. Chester, M.D., PC
• Caroline Pullen Nutrition
• Dean Carollo
• Carolyn a Hebel Psychiatry LLC
• Madeline Caron, CCC-SLP

• Specialist in Nashville, TN
• Providers in Nashville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.