Organization Active NPI

Group Effort of Tennessee, LLC.

  • Developmental Disabilities Clinic/Center
  • Gallatin, TN
National Provider Identifier
1033510250
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
L00000001255 Issued in TN
Legal business name
GROUP EFFORT OF TENNESSEE, LLC.
Practice address
220 S Hickory Ave
Gallatin, TN 37066-3291
Phone
(615) 995-4494
NPI assigned
Sep 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2014

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

Authorized official

Name
Derek Sharod Potter
Title
Director of Business Development
Phone
(615) 995-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X L00000001255 TN Primary

Addresses

Primary practice location

220 S Hickory Ave
Gallatin, TN 37066-3291

Mailing address

PO Box 1113
Gallatin, TN 37066-1113

National Provider Directory

National Provider Directory

Locations

220 S Hickory Ave
Gallatin, TN 37066
Phone (615) 230-2937

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1410048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410048000000",
    "number": "1033510250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1113",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370661113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S HICKORY AVE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663291",
            "telephone_number": "615-995-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP EFFORT OF TENNESSEE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-07",
        "last_updated": "2014-09-07",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "SHAROD",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "615-995-4494"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "TN",
            "license": "L00000001255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; 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.