Sunshine Medical, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1203 Issued in TN

Legal business name

SUNSHINE MEDICAL, LLC

Practice address

801 E Old Hickory Blvd
Ste 150
Madison, TN 37115-4169

Phone

(615) 942-9271

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kawandus Lovett Bennett, PA-CNPI 1912945718

Title

Ceo

Phone

(615) 942-9271

Specialties & licenses 1

Addresses

Locations

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.

• Kawandus L Bennett, MD

  • Internal Medicine Physician
  • Olympia, WA
  • NPI 1912945718
  NPD (past) Authorized official

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1306023361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160441",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372160441",
            "telephone_number": "615-942-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E OLD HICKORY BLVD",
            "address_2": "STE 150",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154169",
            "telephone_number": "615-942-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KAWANDUS",
        "authorized_official_middle_name": "LOVETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-942-9271",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Sullivan, LPC
• Jesse Summer, BS
• Megan Lindsay Summerlin
• Suncrest Healthcare, LLC (SunCrest Home Health)
• Suncrest Healthcare,Inc
• Courtney Sutter
• Kurt Robert Swauger, DR DDS
• Sarah Swensen, LCSW
• Kenneth Sykes, PHARMD
• Robert Szklany, RN, BSN

• Physician Assistant in Madison, TN
• Providers in Madison, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.