NPIMap

Organization Active NPI

Carebridge Medical Group

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1124656616
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAREBRIDGE MEDICAL GROUP
Practice address
501 Great Circle Rd FL 3
Nashville, TN 37228-1317
Phone
(615) 436-9060
Fax
(615) 235-9725
NPI assigned
Mar 30, 2020
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melinda Henderson, MDNPI 1013966423
Title
Cmo
Phone
(615) 585-1181

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU
Nurse Practitioner 363L00000X NU
Adult Health Nurse Practitioner 363LA2200X NU
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU

Addresses

Primary practice location

501 Great Circle Rd FL 3
Nashville, TN 37228-1317

Mailing address

501 Great Circle Rd FL 3
Nashville, TN 37228-1317
Phone (615) 436-9060

Other practice location 1

2 N Central Ave Ste 1800
Phoenix, AZ 85004-2139
Phone (615) 436-9060

Other practice location 2

801 E Douglas Ave Fl 2
Wichita, KS 67202-3548
Phone (833) 315-2655

Other practice location 3

945 Concord St
Framingham, MA 01701-4613
Phone (615) 436-9060

Other practice location 4

3900 Westerre Pkwy Ste 300
Richmond, VA 23233-1339
Phone (615) 436-9060

Other practice location 5

2355 Highway 36 W Ste 400
Saint Paul, MN 55113-3905
Phone (615) 436-9060

Other practice location 6

10475 Crosspoint Blvd Ste 250
Indianapolis, IN 46256-3387
Phone (615) 436-9060

Other practice location 7

500 E Shore Dr Fl 2
Eagle, ID 83616-6908
Phone (615) 436-9060

Other practice location 8

100 S Ashley Dr Ste 600
Tampa, FL 33602-5300
Phone (844) 590-1210

Other practice location 9

100 West Rd Ste 300
Towson, MD 21204-2370
Phone (615) 436-9060

Other practice location 10

699 Walnut St Ste 4004th
Des Moines, IA 50309-3929
Phone (888) 605-9061

Other practice location 11

11111 Katy Fwy Ste 910
Houston, TX 77079-2119
Phone (833) 460-0292

Other identifiers 8

IdentifierTypeStateIssuer
1124656616MedicaidMN
422490901MedicaidTN
0131687MedicaidIA
Q056232MedicaidTN
1124656616MedicaidVA
201337990AMedicaidKS
108794900MedicaidFL
157006MedicaidAZ

Other names 1

  • Main Street Medical Group Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melinda.henderson@237407481626628.direct.elationemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408004162 TN Part B Supplier - Clinic/Group Practice 0648609867 Receives reassigned benefits from 9 practitioners
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory
Tax ID family
Carebridge Medical Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

926 Main St
Nashville, TN 37206
Phone (615) 435-9060

926 Main St
Ste B
Nashville, TN 37206

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1124656616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD FL 3",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD FL 3",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 N Central Ave Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850042139",
            "country_code": "US",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 E Douglas Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672023548",
            "country_code": "US",
            "telephone_number": "833-315-2655",
            "fax_number": "615-235-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 Concord St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017014613",
            "country_code": "US",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Westerre Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232331339",
            "country_code": "US",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 Highway 36 W Ste 400",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551133905",
            "country_code": "US",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10475 Crosspoint Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462563387",
            "country_code": "US",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Shore Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "836166908",
            "country_code": "US",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Ashley Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336025300",
            "country_code": "US",
            "telephone_number": "844-590-1210",
            "fax_number": "615-235-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 West Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212042370",
            "country_code": "US",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 Walnut St Ste 4004th",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093929",
            "country_code": "US",
            "telephone_number": "888-605-9061",
            "fax_number": "615-235-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11111 Katy Fwy Ste 910",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770792119",
            "country_code": "US",
            "telephone_number": "833-460-0292",
            "fax_number": "615-235-9725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREBRIDGE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "615-585-1181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124656616",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422490901",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131687",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q056232",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124656616",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201337990A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108794900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157006",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melinda.henderson@237407481626628.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "CareBridge Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 Great Circle Rd",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372281317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Main Street Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.