Leavitt Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000038410 Issued in TN

Legal business name

LEAVITT FAMILY MEDICINE, PLLC

Practice address

353 New Shackle Island Rd
Suite 103a
Hendersonville, TN 37075-2379

Phone

(615) 826-5664

Fax

(615) 826-5665

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Jason Leavitt, M.D.NPI 1578615522

Title

Family Physician

Phone

(615) 826-5664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDJEAA

Practitioners 7

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

• Paul J. Leavitt, M.D.

  • Family Medicine Physician
  • Hendersonville, TN
  • NPI 1578615522
  Medicare reassignment NPD Authorized official
• Lauren Matthews, NP

  • Family Nurse Practitioner
  • White House, TN
  • NPI 1477107274
  Medicare reassignment NPD
• Kristin Marie Anders, PA-C

  • Physician Assistant
  • Hendersonville, TN
  • NPI 1114673936
  Medicare reassignment
• Jason Cummings

  • Physician Assistant
  • Nashville, TN
  • NPI 1407426653
  Medicare reassignment
• Laura Lee Gause, PA-C

  • Physician Assistant
  • Nashville, TN
  • NPI 1447931613
  NPD (past)
• Erika Lynn Rooney

  • Family Nurse Practitioner
  • Hendersonville, TN
  • NPI 1467177725
  NPD (past)
• Taylor Spivey, FNP-C

  • Family Nurse Practitioner
  • Hendersonville, TN
  • NPI 1629900071
  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1346413077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 103A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752931",
            "telephone_number": "615-826-5664",
            "fax_number": "615-826-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 103A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-826-5664",
            "fax_number": "615-826-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAVITT FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "FAMILY PHYSICIAN",
        "authorized_official_telephone_number": "615-826-5664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000038410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Latham
• Niah A Lavender, BEHAVIOR TECHNICIAN
• Audreanna Heather Lawrence, BT
• Lauren R Lea
• Riley Catherine Leaver, RBT
• Paul J. Leavitt, M.D.
• Destin Leberte
• Abbey Marie Lee, DDS
• Amy Lee
• Christin Daisy Lee

• Family Medicine Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.