Active NPI
Infinity Family Health LLC
- Family Nurse Practitioner
- McMinnville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- INFINITY FAMILY HEALTH LLC
- Practice address
- 231 Northgate Dr Ste 218
McMinnville, TN 37110-1436 - Phone
- (931) 668-2628
- NPI assigned
- Nov 11, 2020
- 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
- Leslie R Whaley, FNP
- Title
- NP
- Phone
- (931) 808-2218
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
231 Northgate Dr Ste 218
McMinnville, TN 37110-1436
Mailing address
231 Northgate Dr Ste 218
McMinnville, TN 37110-1436
Phone (932) 507-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
Rural health clinic certification: CCN 883859
- Legal name
- INFINITY FAMILY HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 21, 2021
- Last certification
- Dec 21, 2021
- Ownership / control type
- 1A
- Organization structure
- LLC
- Enrollment address
- 231 Northgate Dr
Ste 218
McMinnville, TN 37110-1436
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2204232 | Infinity Family Health | Certificate of waiver | Dec 7, 2026 |
National Provider Directory
National Provider DirectoryLocations
231 Northgate Dr
Ste 218
McMinnville, TN 37110
Phone (931) 507-5000
Interoperability endpoints
- https://api.platform.athenahealth.com/23065/brand/1/csg/1/fhir/r4
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Leslie Whaley | 5% Or Greater Direct Ownership Interest | Oct 23, 2020 | |
| Corporate Officer | Oct 23, 2020 | ||
| Operational/Managerial Control | Oct 23, 2020 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- McMinnville, TN
- NPI 1992042287
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- McMinnville, TN
- NPI 1992042287
-
- Family Nurse Practitioner
- McMinnville, TN
- NPI 1790022333
-
- Family Nurse Practitioner
- McMinnville, TN
- NPI 1154083426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715558400000",
"number": "1295337665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 NORTHGATE DR STE 218",
"city": "MCMINNVILLE",
"state": "TN",
"postal_code": "371101436",
"telephone_number": "932-507-2021",
"fax_number": "932-507-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 NORTHGATE DR STE 218",
"city": "MCMINNVILLE",
"state": "TN",
"postal_code": "371101436",
"telephone_number": "931-668-2628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITY FAMILY HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-11",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A",
"authorized_official_last_name": "WHALEY",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "931-808-2218",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.