Innova Medical PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD31405 Issued in TN

Legal business name

INNOVA MEDICAL PLLC

Practice address

740 Cool Springs Blvd
Suite 120
Franklin, TN 37067-6448

Phone

(615) 550-6097

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Anthony Miceli Jr., DCNPI 1275713521

Title

President

Phone

(615) 414-8459

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Anthony Miceli Jr., D.C.

  • Chiropractor
  • Franklin, TN
  • NPI 1275713521
  NPD (past) Authorized official

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1194066472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 BRISBANE DR",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371748575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 COOL SPRINGS BLVD",
            "address_2": "SUITE 120",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676448",
            "telephone_number": "615-550-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "MICELI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-414-8459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD31405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lytrice Ann Ingraham, LMT
• Ingram Co
• Elisa Shawann Ingram, BCBA, LBA
• Inhome Recovery LLC
• Lori Weiss Inkrot, LPC, PROVISIONAL
• Innovative Medical Solutions, PLLC
• Innovative Speech-Language Therapy, LLC
• Insight Molecular Diagnostics Inc.
• Insight Psychiatric Services, PLC
• Wesley B Inso, PT, MA

• General Practice Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.