Enclave Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000037790 Issued in TN

Legal business name

ENCLAVE MEDICAL GROUP LLC

Practice address

317 Seven Springs Way
Suite 230
Brentwood, TN 37027-4575

Phone

(714) 249-3999

NPI assigned

Jun 26, 2013

Last updated

Jun 26, 2013By 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

Karlton Davidson

Title

Business Manager Owner

Phone

(615) 712-9809

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1114367851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY",
            "address_2": "SUITE 230",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274575",
            "telephone_number": "714-249-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY",
            "address_2": "SUITE 230",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274575",
            "telephone_number": "714-249-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCLAVE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "KARLTON",
        "authorized_official_title_or_position": "BUSINESS MANAGER OWNER",
        "authorized_official_telephone_number": "615-712-9809"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000037790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jovanna Simon Emerson, PH.D.
• Lori D Emerson, MD
• Michael Emerson
• Katherine Cecilia Emery
• Luyan Zhao Emfinger, PMHNP-BC
• Edna Enemchukwu
• Cade Calvin England, PA-C
• McKenzie England
• Nicholas Patrick Engle, O.D.
• Laura Ann Engman

• Family Medicine Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.