Individual provider Active NPI

Puja K Myne, MD

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1215213160
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53109 Issued in TN
Practice address
2723 New Salem Hwy
Murfreesboro, TN 37128-5253
Phone
(615) 396-6850
Fax
(615) 396-6855
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53109 TN Primary

Addresses

Primary practice location

2723 New Salem Hwy
Murfreesboro, TN 37128-5253

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-5180
Phone (615) 284-7261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190620000193 RI Practitioner - Family Practice 5294997789 Reassigns benefits to 1 organization
I20221031002733 NC Practitioner - Family Practice 5294997789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

212 29TH Ave NE
Hickory, NC 28601-1084
Phone (828) 732-5350

Hospital & facility affiliations

  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53109TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group Inc CurrentSince Oct 3, 2022 Accepting new patients
Comprehensive Community Action, Inc CurrentSince Apr 16, 2019 Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine Current Accepting new patients
Comprehensive Community Action, Inc. Current Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine CurrentSince Oct 3, 2022 Accepting new patients
Memphis Urgent Care #2, LLC. Family Medicine PastSince Feb 14, 2021 Accepting new patients
Family Physicians Group PC Family Medicine Past Accepting new patients

Locations

3114 W Main St
Claremont, NC 28610
Phone (828) 459-7324

130 1st St W
Conover, NC 28613
Phone (828) 466-3000

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

137 Island Ford Rd
Maiden, NC 28650
Phone (828) 428-2446

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

311 Doric Ave
Cranston, RI 02910
Phone (401) 467-9610

1090 Cranston St
Cranston, RI 02920
Phone (401) 467-9610

Interoperability endpoints

  • Direct secure messaging: puja.myne@cvmg.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1215213160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "telephone_number": "615-284-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 NEW SALEM HWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285253",
            "telephone_number": "615-396-6850",
            "fax_number": "615-396-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYNE",
        "first_name": "PUJA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "53109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.