University Community Health Services, Inc
Organization Active NPI Community Health Clinic/Center · Nashville, TN
NPI 1275634818 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1275634818
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Ashanti Weaver
- Title
- Credentialing Coordinator
- Phone
- (615) 649-5709
Owners & managing parties with NPI records 4
-
Mary Suzanne Hurley, APRN, BC
-
Caroline Portis Jenkins, MSN, FNP-BC
Member organizations 1
Practitioners 67
-
Caroline Portis Jenkins, MSN, FNP-BC
-
Carli Mollica, APRN, FNP-C
-
Lisa S Rogers, NP
-
Rebekah Ruth Espy, PA-C
-
Kimberly Sharp Arandi, PA-C
-
Nandi Brown, CNM
-
Alexa Clay, CNM
-
Hailey Jaymes Conway, APRN, WHNP-BC
-
Lisa A Felt, MSN, CNM
-
Mary Suzanne Hurley, APRN, BC
-
Abigail Jones, CNM
-
Jennifer McClellan, APRN, CNM
-
Michelle Hannah Smilansky, MSN, WHNP-BC
-
April Ann Smith, NP
-
Kathryn Thomas, CNM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TN
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
- Corporation · Non-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
- Other · Non-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
- Corporation · Non-profit
- Enrollment address
- 3754 Murfreesboro Pike
Antioch, TN 37013-3878
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Caroline P Jenkins |
Corporate Director |
Oct 1, 2004 | |
| Corporate Officer |
Oct 31, 2014 | ||
| W-2 Managing Employee |
Oct 31, 2014 | ||
| Kathleen Fogarty |
Operational/Managerial Control |
Apr 19, 2021 | |
| Mary Suzanne Hurley |
Corporate Director |
Oct 1, 2004 | |
| 5% Or Greater Direct Ownership Interest | Oct 1, 2004 | ||
| W-2 Managing Employee | Oct 1, 2004 | ||
| Corporate Officer |
Jul 1, 2013 | ||
| W-2 Managing Employee |
Jul 1, 2013 | ||
| University Community Health Services, Inc |
Operational/Managerial Control | Jul 1, 2012 | |
| Carol Murdock |
Corporate Director |
Jun 20, 2024 | |
| Jaime Combs |
Corporate Director |
Jul 18, 2018 | |
| Samuel T Rosenbloom |
Corporate Officer |
Sep 1, 2010 | |
| Pamela Johnson |
Corporate Director |
Nov 1, 2019 | |
| Phillip Patterson |
Corporate Director |
Dec 1, 2024 | |
| Pamala Pullen |
Corporate Director |
Feb 17, 2026 | |
| Valerie Butt |
Corporate Officer |
Jul 1, 2022 | |
| W-2 Managing Employee |
Jul 1, 2022 | ||
| Helen C Spencer |
Corporate Director |
Oct 29, 2012 | |
| W-2 Managing Employee |
Oct 29, 2012 | ||
| Sharrel Pinto |
Corporate Director |
Dec 1, 2024 | |
| Melissa Medina |
Corporate Director |
Feb 1, 2026 | |
| Michael Sandwith |
Corporate Director |
Feb 1, 2026 | |
| Meaghan Williams |
Corporate Director |
Dec 1, 2024 | |
| Joseph G Taylor |
Corporate Director |
Aug 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
3100 Bowling Green Rd
Franklin, KY 42134
3820 Murfreesboro Pike
Antioch, TN 37013
817 N Charlotte St
Dickson, TN 37055
Phone (615) 740-5900
507 Henslee Dr
Dickson, TN 37055
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) 977-5477
2637 Murfreesboro Pike
Nashville, TN 37217
Phone (615) 292-9770
301 28th Ave N
Nashville, TN 37203
Phone (615) 329-1470
70 Hart St
Nashville, TN 37210
Phone (615) 244-0753
2000 Church St
Nashville, TN 37236
Phone (615) 284-4672
510 Wedgewood Ave
Nashville, TN 37203
Phone (615) 255-3899
1301 Medical Center Dr
Ste 1710
Nashville, TN 37232
Phone (615) 322-0064
1015 Davidson Dr
Nashville, TN 37205
1008 19th Ave S
Nashville, TN 37212
Phone (615) 340-7556
312 Rosa L Parks Ave
Ste 3380
Nashville, TN 37243
Phone (615) 741-1709
2991 McGavock Pike
Nashville, TN 37214
70 Old Hickory Blvd
Old Hickory, TN 37138
1660 Railroad Ave
Shelbyville, TN 37160
Phone (931) 685-6672
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Yes | ||
| Acute Care Nurse Practitioner |
363LA2100X | |||
| Adult Health Nurse Practitioner |
363LA2200X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Pediatric Nurse Practitioner |
363LP0200X | |||
| Psychiatric/Mental Health Nurse Practitioner |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3343406 | Medicaid | TN |
Other providers in Nashville, TN
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All providers in Nashville, TN · Community Health Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.