Active NPI
Quatracor Complete Health Partners
- Emergency Medicine Physician
- Hendersonville, TN
National Provider Identifier
1124753009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- QUATRACOR COMPLETE HEALTH PARTNERS
- Practice address
- 166 E Main St
Hendersonville, TN 37075-2520 - Phone
- (615) 991-2855
- Fax
- (615) 431-2917
- NPI assigned
- Jul 23, 2022
- Organization subpart
- Yes
- Parent organization
- QUATRACOR COMPLETE HEALTH PARTNERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Babcock
- Title
- Owner
- Phone
- (615) 604-8364
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | |||
| Family Medicine Physician | 207Q00000X | |||
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
166 E Main St
Hendersonville, TN 37075-2520
Mailing address
6746 Charlotte Pike
Nashville, TN 37209-4204
Phone (629) 203-7585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220921003144 | TN | DME Supplier - Sports Medicine | 1254685183 | Practice locations: Hendersonville, TN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1336620814
1254685183
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 |
|---|---|---|---|
| 44D2216839 | Complete Health Partners | Certificate of waiver | Mar 15, 2027 |
National Provider Directory
National Provider Directory- Part of
- Complete Health Partners
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1336620814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658534400000",
"number": "1124753009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6746 CHARLOTTE PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094204",
"telephone_number": "629-203-7585",
"fax_number": "292-037-8576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 E MAIN ST",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752520",
"telephone_number": "615-991-2855",
"fax_number": "615-431-2917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUATRACOR COMPLETE HEALTH PARTNERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUATRACOR COMPLETE HEALTH PARTNERS",
"enumeration_date": "2022-07-23",
"last_updated": "2022-07-23",
"certification_date": "2022-07-23",
"status": "A",
"authorized_official_last_name": "BABCOCK",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-604-8364"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207PS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; 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.