Active NPI
Healing Place Family Medicine
- Clinic/Center
- Goodlettsville, TN
National Provider Identifier
1285795278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- HEALING PLACE FAMILY MEDICINE
- Practice address
- 824 Wren Rd
Goodlettsville, TN 37072-2312 - Phone
- (615) 851-8959
- Fax
- (615) 851-5949
- NPI assigned
- Dec 13, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald McDermott, MEDICAL DOCTOR
- Title
- Owner
- Phone
- (615) 851-8959
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | TN | Primary |
Addresses
Primary practice location
824 Wren Rd
Goodlettsville, TN 37072-2312
Mailing address
824 Wren Rd
Goodlettsville, TN 37072-2312
Phone (615) 851-8959
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790899508 | Other | NPI RONALD MCDERMOTT M.D. | |
| 3094940 | Medicaid | TN | |
| 9842836002 | Other | CIGNA | |
| 4147623 | Other | TN | BCBS |
| 4147626 | Other | BCBS | |
| 6271922 | Other | CIGNA | |
| 7078597 | Other | AETNA | |
| TN0101 | Other | AMERICHOICE | |
| TN01035857 | Other | AMERIGROUP | |
| 01041710 | Other | AMERIGROUP | |
| 3818316 | Medicaid | TN | |
| G58444 | Other | HEALTHSPRINGS | |
| 4152576 | Other | BCBS | |
| 7197644 | Other | AETNA | |
| G20365 | Other | HEALTHSPRINGS | |
| TN0102 | Other | AMERICHOICE | |
| 1285795278 | Other | GROUP NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Goodlettsville, TN
- NPI 1790899508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1285795278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 WREN RD",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722312",
"telephone_number": "615-851-8959",
"fax_number": "615-851-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 WREN RD",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722312",
"telephone_number": "615-851-8959",
"fax_number": "615-851-5949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING PLACE FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MCDERMOTT",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-851-8959",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MEDICAL DOCTOR"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI RONALD MCDERMOTT M.D.",
"identifier": "1790899508",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3094940",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9842836002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4147623",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4147626",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6271922",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7078597",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "TN0101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "TN01035857",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01041710",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3818316",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRINGS",
"identifier": "G58444",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4152576",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7197644",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRINGS",
"identifier": "G20365",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "TN0102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1285795278",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.