Organization Active NPI

Serenity Health Care, P.C.

  • Family Medicine Physician
  • Madison, TN
National Provider Identifier
1295988822
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SERENITY HEALTH CARE, P.C.
Practice address
913 Gallatin Pike S
Madison, TN 37115-4603
Phone
(615) 915-2481
Fax
(615) 915-2488
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Irene W Bean, FNP-BCNPI 1245225564
Title
Owner
Phone
(615) 915-2481

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 Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

913 Gallatin Pike S
Madison, TN 37115-4603

Mailing address

913 Gallatin Pike S
Madison, TN 37115-4603
Phone (615) 915-2481

Other names 1

  • Serenity Health Care Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100810000096 TN Part B Supplier - Clinic/Group Practice 6507999851 Receives reassigned benefits from 2 practitioners
Practice locations: Madison, TN

National Provider Directory

National Provider Directory

Locations

913 Gallatin Pike S
Madison, TN 37115
Phone (615) 915-2481

Practitioners & affiliated clinicians

Practitioners 2

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1295988822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 GALLATIN PIKE S",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154603",
            "telephone_number": "615-915-2481",
            "fax_number": "615-915-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 GALLATIN PIKE S",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154603",
            "telephone_number": "615-915-2481",
            "fax_number": "615-915-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALTH CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-915-2481",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.