Diverse Medical Management, Inc.
Organization Active NPI Social Worker · McMinnville, TN
NPI 1235548504 · NPPES record last updated Oct 17, 2018
Key facts
- NPI
- 1235548504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- License
- 4633 (TN)
- Legal business name
- DIVERSE MEDICAL MANAGEMENT, INC.
- Practice address
- 82 Beckridge Rd
McMinnville, TN 37110-5006 - Phone
- (931) 409-4350
- NPI assigned
- Aug 12, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Natalie Frey
- Title
- Authorized Rep/Office Manager
- Phone
- (931) 815-8525
Practitioners 2
-
Mary Ellen Ehman, FNP
National Provider Directory
Locations
629 State Highway 21 S
Hayneville, AL 36040
Phone (334) 548-5995
6460 Old Tuscaloosa Hwy
Mc Calla, AL 35111
Phone (205) 323-2724
2201 McFarland Blvd
Northport, AL 35476
Phone (205) 339-3000
1000 McFarland Blvd
Northport, AL 35476
Phone (205) 744-8226
9057 Manchester Hwy
Morrison, TN 37357
Phone (502) 381-9053
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | 4633 | TN | Yes |
Addresses
Primary practice location
82 Beckridge Rd
McMinnville, TN 37110-5006
Mailing address
82 Beckridge Rd
McMinnville, TN 37110-5006
Phone (931) 409-4350
Other practice location 1
9057 Manchester Hwy
Morrison, TN 37357
Phone (931) 815-8525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q007193 | Medicaid | TN | |
| 207575 | Medicaid | AL |
Other providers in McMinnville, TN
- William Allan Davis
- Marion Andrew Dean Jr.
- Darla Leigh Deleon
- Terry L Denning
- DGM Health PLLC
- Abby Dixon
- Kirstie L Dixon
- Sara Greer Dodson
- Robert Donahue
- Donna Roberts Dowell
All providers in McMinnville, TN · Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.