Active NPI
Long Hollow Family Practice
- Family Medicine Physician
- Goodlettsville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LONG HOLLOW FAMILY PRACTICE
- Practice address
- 450 Professional Park Dr
Goodlettsville, TN 37072-2180 - Phone
- (615) 859-1440
- Fax
- (615) 859-0145
- NPI assigned
- May 8, 2007
- Last updated
- Feb 13, 2025
- 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
- Dr. John E Baites Jr., M.D.
- Title
- President
- Phone
- (615) 859-1440
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
450 Professional Park Dr
Goodlettsville, TN 37072-2180
Mailing address
PO Box 710
Goodlettsville, TN 37070-0710
Phone (615) 859-1440
Other practice location 1
740 Conference Dr
Goodlettsville, TN 37072-1915
Phone (615) 859-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0712431 | Long Hollow Family Practice PC | Certificate of waiver | Apr 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
450 Professional Park Dr
Goodlettsville, TN 37072
Phone (615) 330-7059
450 Professional Park Dr
Ste C
Goodlettsvlle, TN 37072
Phone (615) 851-5140
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Family Medicine Physician
- Goodlettsville, TN
- NPI 1801866199
-
- Family Medicine Physician
- Goodlettsville, TN
- NPI 1063483568
-
- Family Nurse Practitioner
- Goodlettsville, TN
- NPI 1962441006
-
- Family Nurse Practitioner
- Goodlettsville, TN
- NPI 1245270883
-
- Medical Physician Assistant
- Goodlettsville, TN
- NPI 1881634442
-
- Family Nurse Practitioner
- Goodlettsville, TN
- NPI 1295241768
Family Medicine
-
- Physician Assistant
- Goodlettsville, TN
- NPI 1134990591
-
- Family Nurse Practitioner
- Nashville, TN
- NPI 1669569786
-
- Family Nurse Practitioner
- Goodlettsville, TN
- NPI 1073989059
-
- Physician Assistant
- Goodlettsville, TN
- NPI 1104781350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1093928707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 710",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370700710",
"telephone_number": "615-859-1440",
"fax_number": "615-859-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 PROFESSIONAL PARK DR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722180",
"telephone_number": "615-859-1440",
"fax_number": "615-859-0145"
}
],
"practiceLocations": [
{
"address_1": "740 Conference Dr",
"address_purpose": "LOCATION",
"city": "Goodlettsville",
"state": "TN",
"postal_code": "370721915",
"country_code": "US",
"telephone_number": "615-859-1440",
"fax_number": "615-859-0145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LONG HOLLOW FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "BAITES",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-859-1440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodlettsville, TN
- Avis Cassandra Littleton, MS, LMFT
- Nelson Anthony Liwag, PTA, LPN
- Tiara Asistin Liwag, PT
- James C Loden, M.D.
- Long Hollow Chiropractic LLC
- Love Hands Personal Care Service Inc.
- Keith H Loven, MD
- Lawrence D Lubow, M.D.
- Luxottica Retail North America Inc (Sears Optical #C0598)
- Joe M Maccurdy Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.