Trenton Medical Clinic PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

APN18036 Issued in TN

Legal business name

TRENTON MEDICAL CLINIC PLLC

Practice address

120 Davy Crockett Mall
Trenton, TN 38382-2934

Phone

(731) 855-3719

NPI assigned

Mar 7, 2017

Last updated

Mar 7, 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

Adenike Fatomoh Adedeji, NPNPI 1992134597

Title

Nurse Practitioner

Phone

(731) 855-3719

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adenike Adedeji, FNP

  • Family Nurse Practitioner
  • Trenton, TN
  • NPI 1992134597
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1043750193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DAVY CROCKETT MALL",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383822934",
            "telephone_number": "731-855-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DAVY CROCKETT MALL",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383822934",
            "telephone_number": "731-855-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENTON MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "ADEDEJI",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_middle_name": "FATOMOH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "731-855-3719",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "APN18036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Thomas, PTA
• Dana R Thompson
• Top Flight Medical Group
• Total Health Chiropractic & Sports Rehabilitation
• Trenton Health and Rehabilitation Center, LLC (Trenton Health and Rehabilitation Center)
• Trenton Special School District
• Darla Tucker, PTA
• Kendall Rae Turnbow
• Madeline Reis Vernon
• Laurie Ann Ward

• Primary Care Clinic/Center in Trenton, TN
• Providers in Trenton, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.