Organization Active NPI

Twelvestone Medical, Inc.

  • Home Infusion Therapy Pharmacy
  • Murfreesboro, TN
National Provider Identifier
1154418218
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
2978 Issued in TN
Legal business name
TWELVESTONE MEDICAL, INC.
Practice address
352 W Northfield Blvd
Suite 3a
Murfreesboro, TN 37129
Phone
(844) 893-0012
Fax
(615) 278-3355
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Ms. Tara M Harrelson
Title
Manager of Compliance and Accredita
Phone
(615) 278-3278

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X 2978 TN Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

352 W Northfield Blvd
Suite 3a
Murfreesboro, TN 37129

Mailing address

P.O. Box 12369
Murfreesboro, TN 37129
Phone (844) 893-0012

Other identifiers 4

IdentifierTypeStateIssuer
7100282930MedicaidKY
30015232350001MedicaidVA
1452202MedicaidTN
7100594610MedicaidKY

Other names 1

  • Reeves-Sain Infusion Services Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930027569 TN DME Supplier - Pharmacy 9335269810 Practice locations: Murfreesboro, TN
O20151008001880 TN Part B Supplier - Other 9335269810 Practice locations: Murfreesboro, TN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Twelvestone Medical Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

3500 Loop Rd
Ste B4
McDonough, GA 30253

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1154418218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 12369",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "844-893-0012",
            "fax_number": "615-278-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 W NORTHFIELD BLVD",
            "address_2": "SUITE 3A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "844-893-0012",
            "fax_number": "615-278-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVESTONE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER OF COMPLIANCE AND ACCREDITA",
        "authorized_official_telephone_number": "615-278-3278",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TN",
            "license": "2978",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100282930",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015232350001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452202",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100594610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reeves-Sain Infusion Services Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Reeves-Sain Infusion Services Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.