NPIMap

Organization Active NPI

Metropolitan Interdenominational Church

  • Infectious Disease Physician
  • Nashville, TN
National Provider Identifier
1326085747
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
METROPOLITAN INTERDENOMINATIONAL CHURCH
Practice address
1223 9TH Ave N
Nashville, TN 37208-2552
Phone
(615) 277-0615
Fax
(615) 321-9793
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Terry Terrell
Title
Chief Operating Officer
Phone
(615) 321-9791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

1223 9TH Ave N
Nashville, TN 37208-2552

Mailing address

PO Box 280779
Nashville, TN 37228-0779
Phone (615) 321-9791

Other identifiers 2

IdentifierTypeStateIssuer
3724325MedicaidTN
4087595OtherTNBCBS

Other names 1

  • First Response Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1326085747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280779",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372280779",
            "telephone_number": "615-321-9791",
            "fax_number": "615-321-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 9TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082552",
            "telephone_number": "615-277-0615",
            "fax_number": "615-321-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN INTERDENOMINATIONAL CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "615-321-9791"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3724325",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4087595",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Response Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.