NPIMap

Organization Active NPI

State of Tennessee

Doing business as Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
National Provider Identifier
1316090145
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
STATE OF TENNESSEE
Doing business as
Robertson County Health Department
Practice address
800 S Brown St
Springfield, TN 37172-2920
Phone
(615) 384-0208
Fax
(615) 384-0245
NPI assigned
Jan 18, 2007
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Mrs. Annette Haley
Title
Regional Director
Phone
(615) 650-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X TN Primary

Addresses

Primary practice location

800 S Brown St
Springfield, TN 37172-2920

Mailing address

800 S Brown St
Springfield, TN 37172-2920
Phone (615) 384-0208

Other identifiers 1

IdentifierTypeStateIssuer
4448020MedicaidTN

Other names 1

  • Robertson County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031104000309 TN Part B Supplier - Clinic/Group Practice 5698687077 Receives reassigned benefits from 91 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Springfield, TN; Nashville, TN; Memphis, TN; Lebanon, TN; Cookeville, TN; Columbia, TN; Chattanooga, TN; Jackson, TN
O20041013001259 TN Part B Supplier - Mass Immunization (Roster Biller Only) 5698687077 This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 35)

393 County Road 554
Athens, TN 37303
Phone (423) 745-7431

2279 Parksville Rd
Benton, TN 37307
Phone (423) 338-4533

115 Guffey St
Celina, TN 38551
Phone (931) 243-2651

100 Moccasin Bend Rd
Chattanooga, TN 37405
Phone (423) 785-3321

1216 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-2532

131 S Webb Ave
Crossville, TN 38555
Phone (931) 484-5379

1503 S Main St
Crossville, TN 38555
Phone (931) 484-6196

931 Industrial Park Rd
Ste 200
Dandridge, TN 37725
Phone (865) 397-3930

301 W End Ave
Dickson, TN 37055
Phone (615) 446-2839

403 E G St
Elizabethton, TN 37643
Phone (423) 543-2521

101 Okolona Dr
Erwin, TN 37650
Phone (423) 743-9103

600 N Murray St
Gainesboro, TN 38562
Phone (931) 268-0218

744 School Dr
Gainesboro, TN 38562
Phone (931) 268-0218

541 E Main St
Hartsville, TN 37074
Phone (615) 374-2112

351 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 824-0552

51 Smith Ave
Hohenwald, TN 38462
Phone (931) 796-2204

162 Sharp and Perkins Rd
Jacksboro, TN 37757
Phone (423) 562-8351

240 Colonial Cir
Ste A
Jamestown, TN 38556
Phone (931) 646-7578

601 Highway 52 Byp E
Lafayette, TN 37083
Phone (615) 666-2142

1401 Sparta St
McMinnville, TN 37110
Phone (931) 473-8468

865 Poplar Ave
Memphis, TN 38105
Phone (901) 524-1200

100 W Burton St
Murfreesboro, TN 37130
Phone (615) 898-7785

710 James Robertson Pkwy
Fl 7
Nashville, TN 37219

620 Davis Dr
New Tazewell, TN 37825
Phone (423) 489-3159

209 S Cedar Ln
Pulaski, TN 38478
Phone (931) 363-5506

Practitioners & affiliated clinicians

Practitioners 662

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.

View all 662

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1316090145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S BROWN ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722920",
            "telephone_number": "615-384-0208",
            "fax_number": "615-384-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S BROWN ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722920",
            "telephone_number": "615-384-0208",
            "fax_number": "615-384-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "615-650-7000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4448020",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robertson County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.