Maxmed Care Services

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MAXMED CARE SERVICES

Practice address

1950 N Jackson St
Tullahoma, TN 37388-2204

Phone

(931) 393-2362

Fax

(931) 393-3212

NPI assigned

Feb 20, 2019

Organization subpart

No

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

Authorized official

Name

Heather C Bohannon-Iyama, NP

Title

Member

Phone

(931) 393-2362

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allen R Craig, MD

  • Psychiatry Physician
  • Tullahoma, TN
  • NPI 1932192770
  NPD (past)
• David T Holmes, MD

  • Psychiatry Physician
  • Tullahoma, TN
  • NPI 1427033448
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1336605864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 MOUNTAIN BREEZE CT",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370864914",
            "telephone_number": "931-393-2362",
            "fax_number": "931-393-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882204",
            "telephone_number": "931-393-2362",
            "fax_number": "931-393-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXMED CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "BOHANNON-IYAMA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "931-393-2362",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mat Centers of Tennessee LLC
• Catherine Renee Materi, MA LSPE
• Michele Mathes, LPC-MHSP
• David C Mathis, EDD
• Stephanie Matthews
• Kathleen A Mayor-Lynn, MD
• James Shawn McBride, O.D.
• Andrew David McCall, BS
• Terry Lee McClarney, D.C.
• Patricia Mae McDougall, NP

• Nurse Practitioner in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.