Organization Active NPI

Infinity Family Health LLC

  • Family Nurse Practitioner
  • McMinnville, TN
National Provider Identifier
1295337665
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on May 13, 2024

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

Authorized official

Name
Leslie R Whaley, FNPNPI 1992042287
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210311001572 TN Part B Supplier - Clinic/Group Practice 8527474824 Receives reassigned benefits from 3 practitioners
Practice locations: McMinnville, TN
O20210329001935 TN Part A Provider - Rural Health Clinic 8527474824 Practice locations: McMinnville, TN

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
LLCProprietary
Enrollment address
231 Northgate Dr
Ste 218
McMinnville, TN 37110-1436

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2204232Infinity Family Health231 Northgate Drive Ste 218, McMinnville, TN 37110Certificate of waiverDec 7, 2026

National Provider Directory

National Provider Directory

Locations

231 Northgate Dr
Ste 218
McMinnville, TN 37110
Phone (931) 507-5000

Interoperability endpoints

  • FHIR API: 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.

NameRoleSinceShare
Leslie Whaley Individual 5% Or Greater Direct Ownership InterestPresident Oct 23, 2020
Corporate OfficerPresident Oct 23, 2020
Operational/Managerial ControlPresident 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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.