Organization Active NPI

Addiction Eviction Limited Liability Company, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Oakland, TN
National Provider Identifier
1225796121
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
ADDICTION EVICTION LIMITED LIABILITY COMPANY, LLC
Practice address
14690 Highway 194
Oakland, TN 38060-4356
Phone
(901) 481-4613
NPI assigned
Dec 8, 2021
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Dr. Marthinus Zeeman, MDNPI 1003236837
Title
Owner / Ceo
Phone
(901) 481-4613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X NU Primary

Addresses

Primary practice location

14690 Highway 194
Oakland, TN 38060-4356

Mailing address

1940 Abergeldie Dr
Memphis, TN 38119-6303
Phone (901) 481-4613

Other identifiers 1

IdentifierTypeStateIssuer
Q066247MedicaidTN

Other names 1

  • Addiction Eviction, LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drzeeman@addictioneviction.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309001574 TN Part B Supplier - Clinic/Group Practice 4385039387 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2259098Addiction Eviction14690 Highway 194, Oakland, TN 38060Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory

Locations

14690 Highway 194
Oakland, TN 38060
Phone (901) 481-4613

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1225796121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ABERGELDIE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381196303",
            "telephone_number": "901-481-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14690 HIGHWAY 194",
            "city": "OAKLAND",
            "state": "TN",
            "postal_code": "380604356",
            "telephone_number": "901-481-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION EVICTION LIMITED LIABILITY COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "ZEEMAN",
        "authorized_official_first_name": "MARTHINUS",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "901-481-4613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q066247",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drzeeman@addictioneviction.com",
            "affiliation": "N",
            "address_1": "14690 Highway 194",
            "city": "Oakland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380604356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Addiction Eviction, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.

Verify at the official NPI Registry.