Organization Active NPI

University Community Health Services, Inc

  • Community Health Clinic/Center
  • Nashville, TN
National Provider Identifier
1275634818
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
UNIVERSITY COMMUNITY HEALTH SERVICES, INC
Practice address
601 Benton Ave
Nashville, TN 37204-2303
Phone
(615) 292-9770
Fax
(615) 385-1842
NPI assigned
Sep 26, 2006
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Ashanti Weaver
Title
Credentialing Coordinator
Phone
(615) 649-5709

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

601 Benton Ave
Nashville, TN 37204-2303

Mailing address

601 Benton Ave
Nashville, TN 37204-2303
Phone (615) 292-9770

Other practice location 1

2637 Murfreesboro Pike
Nashville, TN 37217-3505
Phone (615) 292-9770

Other practice location 2

2000 Church St
Nashville, TN 37236-4400
Phone (615) 292-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031212000389 TN Part B Supplier - Clinic/Group Practice 9234035809 Receives reassigned benefits from 33 practitioners
Practice locations: Antioch, TN; Nashville, TN
O20120305000213 TN Part A Provider - Federally Qualified Health Center (FQHC) 9234035809 Practice locations: Nashville, TN
O20201208000936 TN Part A Provider - Federally Qualified Health Center (FQHC) 9234035809 Practice locations: Nashville, TN
O20260513001682 TN Part A Provider - Federally Qualified Health Center (FQHC) 9234035809 Practice locations: Antioch, TN

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1275634818. Details of each certification follow.

Federally qualified health center certification: CCN 441947

Legal name
UNIVERSITY COMMUNITY HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 9, 2012
Last certification
Mar 9, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 3, 1990 in TN
Enrollment address
2637 Murfreesboro Road
Nashville, TN 37217-3505

Federally qualified health center certification: CCN 441008

Legal name
UNIVERSITY COMMUNITY HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 30, 2020
Last certification
Nov 30, 2020
Ownership / control type
For profit – partnership
Organization structure
OtherNon-profit
Enrollment address
6130 Nolensville Pike
Nashville, TN 37211-6813

Federally qualified health center certification: CCN 441034

Legal name
UNIVERSITY COMMUNITY HEALTH SERVICES, INC
Doing business as
CONNECTUS HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 29, 2026
Last certification
Apr 29, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
3754 Murfreesboro Pike
Antioch, TN 37013-3878

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3100 Bowling Green Rd
Franklin, KY 42134

3820 Murfreesboro Pike
Antioch, TN 37013

507 Henslee Dr
Dickson, TN 37055

817 N Charlotte St
Dickson, TN 37055
Phone (615) 740-5900

551 Springplace Rd
Lewisburg, TN 37091
Phone (931) 270-4514

300 W Old Hickory Blvd
Madison, TN 37115

1427 William Blount Dr
Maryville, TN 37801
Phone (865) 380-6119

1008 19th Ave S
Nashville, TN 37212
Phone (615) 340-7556

1015 Davidson Dr
Nashville, TN 37205

1301 Medical Center Dr
Ste 1710
Nashville, TN 37232
Phone (615) 322-0064

2637 Murfreesboro Pike
Nashville, TN 37217
Phone (615) 292-9770

2991 McGavock Pike
Nashville, TN 37214

301 28th Ave N
Nashville, TN 37203
Phone (615) 329-1470

312 Rosa L Parks Ave
Ste 3380
Nashville, TN 37243
Phone (615) 741-1709

510 Wedgewood Ave
Nashville, TN 37203
Phone (615) 255-3899

70 Hart St
Nashville, TN 37210
Phone (615) 244-0753

70 Old Hickory Blvd
Old Hickory, TN 37138

1660 Railroad Ave
Shelbyville, TN 37160
Phone (931) 685-6672

33 Green Bay Rd
Sturgeon Bay, WI 54235
Phone (920) 746-4434

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Caroline P Jenkins Individual Corporate DirectorCo Ceo Oct 1, 2004
Corporate OfficerCo-Ceo, Co-Coo Oct 31, 2014
W-2 Managing EmployeeCo-Ceo, Co-Coo Oct 31, 2014
Kathleen Fogarty Individual Operational/Managerial ControlDirector of Operations Apr 19, 2021
Mary Suzanne Hurley Individual Corporate DirectorCo Ceo Oct 1, 2004
5% Or Greater Direct Ownership Interest Oct 1, 2004
W-2 Managing Employee Oct 1, 2004
Corporate OfficerCo-Ceo, Co-Coo Jul 1, 2013
W-2 Managing EmployeeCo-Ceo, Co-Coo Jul 1, 2013
University Community Health Services, Inc Organization, Nashville, TN Operational/Managerial Control Jul 1, 2012
Carol Murdock Individual Corporate DirectorBoard Vice President Jun 20, 2024
Jaime Combs Individual Corporate DirectorBoard Personnel Chair Jul 18, 2018
Samuel T Rosenbloom Individual Corporate OfficerChief Medical Officer Sep 1, 2010
Pamela Johnson Individual Corporate DirectorBoard Member Nov 1, 2019
Phillip Patterson Individual Corporate DirectorBoard Member Dec 1, 2024
Pamala Pullen Individual Corporate DirectorBoard Member Feb 17, 2026
Valerie Butt Individual Corporate OfficerChief Financial Officer Jul 1, 2022
W-2 Managing EmployeeCfo Jul 1, 2022
Helen C Spencer Individual Corporate DirectorClinical Director Oct 29, 2012
W-2 Managing EmployeeClinical Director Oct 29, 2012
Sharrel Pinto Individual Corporate DirectorBoard Member Dec 1, 2024
Melissa Medina Individual Corporate DirectorBoard Member Feb 1, 2026
Michael Sandwith Individual Corporate DirectorBoard Member Feb 1, 2026
Meaghan Williams Individual Corporate DirectorBoard Treasurer Dec 1, 2024
Joseph G Taylor Individual Corporate DirectorBoard President Aug 1, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1275634818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "615-292-9770",
            "fax_number": "615-385-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "615-292-9770",
            "fax_number": "615-385-1842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2637 Murfreesboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372173505",
            "country_code": "US",
            "telephone_number": "615-292-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Church St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372364400",
            "country_code": "US",
            "telephone_number": "615-292-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY COMMUNITY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "ASHANTI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "615-649-5709"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.