Organization Active NPI

Pophealthcare Medical Services of Mi, PC

  • Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1275009763
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
POPHEALTHCARE MEDICAL SERVICES OF MI, PC
Practice address
113 Seaboard LN Ste 200B
Franklin, TN 37067-8282
Phone
(615) 721-7020
NPI assigned
Oct 23, 2018
Organization subpart
Yes
Parent organization
POPHEALTHCARE MEDICAL SERVICES OF MI, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Sonja Box Beaty
Title
VP Operations
Phone
(800) 793-7050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

113 Seaboard LN Ste 200B
Franklin, TN 37067-8282

Mailing address

113 Seaboard LN Ste 200B
Franklin, TN 37067-8282
Phone (615) 721-7020

Other names 1

  • Illinois Other name

National Provider Directory

National Provider Directory
Part of
Pophealthcare Medical Services of Mi PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1275009763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SEABOARD LN STE 200B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678282",
            "telephone_number": "615-721-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SEABOARD LN STE 200B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678282",
            "telephone_number": "615-721-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPHEALTHCARE MEDICAL SERVICES OF MI, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POPHEALTHCARE MEDICAL SERVICES OF MI, PC",
        "enumeration_date": "2018-10-23",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "BOX",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "800-793-7050"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illinois",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.