Organization Active NPI

Wound Care Medical Group of Tennessee PLC

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1346079704
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WOUND CARE MEDICAL GROUP OF TENNESSEE PLC
Practice address
206 Deer Park Dr
Nashville, TN 37205-3319
Phone
(737) 703-8191
NPI assigned
Aug 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Darrington Phillips Altenbern, MD
Title
Sole Owner, Auth Official
Phone
(737) 703-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

206 Deer Park Dr
Nashville, TN 37205-3319

Mailing address

8161 Highway 100 # 264
Nashville, TN 37221-4213
Phone (737) 703-8191

National Provider Directory

National Provider Directory
Tax ID family
Wound Care Medical Group of Tennessee PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1346079704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8161 HIGHWAY 100 # 264",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214213",
            "telephone_number": "737-703-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 DEER PARK DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053319",
            "telephone_number": "737-703-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE MEDICAL GROUP OF TENNESSEE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "ALTENBERN",
        "authorized_official_first_name": "DARRINGTON",
        "authorized_official_middle_name": "PHILLIPS",
        "authorized_official_title_or_position": "SOLE OWNER, AUTH OFFICIAL",
        "authorized_official_telephone_number": "737-703-8191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 1, 2024; 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.