Lifestyle Medicine Associates, LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD0000010226 Issued in TN

Legal business name

LIFESTYLE MEDICINE ASSOCIATES, LLC

Practice address

481 Sterns Xing
Brentwood, TN 37027-5840

Phone

(615) 260-4958

NPI assigned

Jun 16, 2014

Last updated

Jun 16, 2014By 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

Dr. David Meadow Ferriss Jr., MDNPI 1396150249

Title

Founder and Principal

Phone

(615) 260-4958

Specialties & licenses 1

Addresses

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.

• David Meadow Ferriss Jr., MD, MPH

  • Public Health & General Preventive Medicine Physician
  • Brentwood, TN
  • NPI 1396150249
  NPD (past) Authorized official

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1326452590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 STERNS XING",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 STERNS XING",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275840",
            "telephone_number": "615-260-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "FERRISS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MEADOW",
        "authorized_official_title_or_position": "FOUNDER AND PRINCIPAL",
        "authorized_official_telephone_number": "615-260-4958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TN",
            "license": "MD0000010226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health & General Preventive Medicine Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Public Health & General Preventive Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.