Northfield Family Practice PC
Organization Active NPI Family Medicine Physician · La Vergne, TN
NPI 1093989691 · NPPES record last updated Dec 3, 2019
Key facts
- NPI
- 1093989691
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- NORTHFIELD FAMILY PRACTICE PC
- Practice address
- 6001 Jackson Square Blvd Ste 100
La Vergne, TN 37086-2776 - Phone
- (615) 793-9900
- Fax
- (615) 939-9990
- NPI assigned
- Apr 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Tina M Pettit
- Title
- Office Manager/Ao
- Phone
- (615) 793-9900
Practitioners 2
-
Anita Rochelle Pinkston, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080710000350 | TN | Part B Supplier - Clinic/Group Practice | 9830261650 |
Receives reassigned benefits from 2 practitioners Practice locations: Lavergne, TN; Murfreesboro, TN; Nashville, TN |
National Provider Directory
Locations
406 W Northfield Blvd
Murfreesboro, TN 37129
Phone (615) 217-2747
925 S Church St
Ste A300
Murfreesboro, TN 37130
Phone (615) 217-2747
589 Stewarts Ferry Pike
Nashville, TN 37214
Phone (615) 457-3632
115 Front St
Smyrna, TN 37167
Phone (615) 793-9900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
6001 Jackson Square Blvd Ste 100
La Vergne, TN 37086-2776
Mailing address
PO Box 57
La Vergne, TN 37086-0057
Phone (615) 793-9900
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All providers in La Vergne, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.