Active NPI
Medical Group-Stonecrest Inc
Doing business as StoneCrest Internal Medicine
- Internal Medicine Physician
- Smyrna, TN
National Provider Identifier
1184611501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICAL GROUP-STONECREST INC
- Doing business as
- StoneCrest Internal Medicine
- Practice address
- 300 Stonecrest Blvd
Suite 110
Smyrna, TN 37167-5688 - Phone
- (615) 223-9233
- Fax
- (615) 768-7833
- NPI assigned
- Sep 30, 2005
- Last updated
- Jan 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chuck Locke
- Title
- VP
- Phone
- (615) 373-7604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
300 Stonecrest Blvd
Suite 110
Smyrna, TN 37167-5688
Mailing address
300 Stonecrest Blvd
Suite 110
Smyrna, TN 37167-5688
Phone (615) 223-9233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3722611 | Medicaid | TN |
Other names 1
- StoneCrest Internal Medicine
National Provider Directory
National Provider DirectoryLocations
300 Stonecrest Blvd
Ste 330
Smyrna, TN 37167
Phone (615) 223-0416
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction Medicine (Family Medicine) Physician
- Nashville, TN
- NPI 1396730891
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200355200000",
"number": "1184611501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 STONECREST BLVD",
"address_2": "SUITE 110",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675688",
"telephone_number": "615-223-9233",
"fax_number": "615-768-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STONECREST BLVD",
"address_2": "SUITE 110",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675688",
"telephone_number": "615-223-9233",
"fax_number": "615-768-7833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL GROUP-STONECREST INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-30",
"last_updated": "2008-01-15",
"status": "A",
"authorized_official_last_name": "LOCKE",
"authorized_official_first_name": "CHUCK",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "615-373-7604",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3722611",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "StoneCrest Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.