Mdi Medical Group Puerto Rico PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MDI MEDICAL GROUP PUERTO RICO PC

Practice address

100 Powell PL # 1859
Nashville, TN 37204-3622

Phone

(629) 777-5752

Fax

(629) 777-5752

NPI assigned

May 11, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Marc Serota, MD

Title

Cmo

Phone

(629) 777-5752

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1285562249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POWELL PL # 1859",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043622",
            "telephone_number": "629-777-5752",
            "fax_number": "629-777-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 POWELL PL # 1859",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043622",
            "telephone_number": "629-777-5752",
            "fax_number": "629-777-5752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Calle De La Tanca Ste 512&514",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009011942",
            "country_code": "US",
            "telephone_number": "629-777-5752",
            "fax_number": "629-777-5752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MDI MEDICAL GROUP PUERTO RICO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SEROTA",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "629-777-5752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally McWilliams, RN
• Yolanda McWilliams, LPC, MHSP
• Tammie McWright
• Md2U Tennessee LLC
• Mde Ventures, Inc.
• Harold Meacham III, DDS
• Kristi Howey Meacham, APRN, PMHNP-BC
• Reagan Long Mead, MD
• Shasta Mead, PH.D.
• Vicki L Mead, LPC/MHSP

• Family Medicine Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.