Active NPI
Tipton County Integrated Medicine
- General Practice Physician
- Covington, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- TIPTON COUNTY INTEGRATED MEDICINE
- Practice address
- 201 W Pleasant Avenue
Covington, TN 38019-2538 - Phone
- (901) 475-1100
- NPI assigned
- Oct 6, 2016
- Last updated
- Mar 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Breck Beasley
- Title
- Manager
- Phone
- (901) 475-1100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
201 W Pleasant Avenue
Covington, TN 38019-2538
Mailing address
201 W Pleasant Ave
Covington, TN 38019-2538
Phone (901) 475-1100
National Provider Directory
National Provider DirectoryLocations
201 W Pleasant Ave
Covington, TN 38019
Phone (901) 475-1100
210 W Pleasant Ave
Covington, TN 38019
Phone (901) 475-1100
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Covington, TN
- NPI 1861528481
-
- Chiropractor
- Dyersburg, TN
- NPI 1023289501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488412800000",
"number": "1093265605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W PLEASANT AVE",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380192538",
"telephone_number": "901-475-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W PLEASANT AVENUE",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380192538",
"telephone_number": "901-475-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIPTON COUNTY INTEGRATED MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-06",
"last_updated": "2017-03-02",
"status": "A",
"authorized_official_last_name": "BEASLEY",
"authorized_official_first_name": "BRECK",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "901-475-1100"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.