Mid Tennessee Neurology Associates,PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

30538 Issued in TN

Legal business name

MID TENNESSEE NEUROLOGY ASSOCIATES,PLC

Practice address

5651 Frist Blvd
Suite 308
Hermitage, TN 37076-2054

Phone

(615) 391-8160

Fax

(615) 391-9086

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shan-Ren Zhou, M.D.NPI 1225060791

Title

Owner

Phone

(615) 391-8160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

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

• Shan-Ren Zhou, MD

  • Specialist
  • Hermitage, TN
  • NPI 1225060791
  Medicare reassignment Care Compare group NPD Authorized official
• Noel P Lim, MD

  • Neurology Physician
  • Nashville, TN
  • NPI 1710919295
  Medicare reassignment Care Compare group
• Victor Boyd Deaton, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Hermitage, TN
  • NPI 1205514338
  Medicare reassignment NPD
• Leah Marie Frazee, APRN

  • Nurse Practitioner
  • Hermitage, TN
  • NPI 1992678452
  Medicare reassignment NPD
• April O. Swoner, NP

  • Family Nurse Practitioner
  • Hermitage, TN
  • NPI 1972007201
  Medicare reassignment NPD
• Gabriel Joseph Menendez, M.D.

  • Neurology Physician
  • Fort Myers, FL
  • NPI 1619400520

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1235336975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 308",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762054",
            "telephone_number": "615-391-8160",
            "fax_number": "615-391-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 308",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762054",
            "telephone_number": "615-391-8160",
            "fax_number": "615-391-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID TENNESSEE NEUROLOGY ASSOCIATES,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "ZHOU",
        "authorized_official_first_name": "SHAN-REN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-391-8160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "30538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aiyappan Menon, M.D.
• Megan Merrell, M.S., BCBA
• Kinsey Mertens, PHARMD
• Alvin H. Meyer Jr., M.D.
• Michael Thomas MD PC
• Middle Tennesse Homes
• Middle Tennessee Homes
• Middle Tennessee Neurosurgery, PC
• Middle Tennessee Pulmonary Associates, LLC
• Middle TN Cardiothoracic & Vascular Associates PC

• Specialist in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.