Centerstone of Tennessee

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

172V00000X Issued in TN

Legal business name

CENTERSTONE OF TENNESSEE

Practice address

620 Gallatin Rd
Madison, TN 37115

Phone

(615) 598-3710

NPI assigned

Oct 8, 2012

Last updated

Oct 8, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTERSTONEAs reported in NPPES

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

Authorized official

Name

Mr. Dorress Roy Garbutt

Title

Community Helth Worker

Phone

(615) 887-9872

Specialties & licenses 1

Addresses

Part of

Centerstone CMHC

Locations

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1356693931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GALLATIN RD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "37115",
            "telephone_number": "615-598-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GALLATIN RD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "37115",
            "telephone_number": "615-598-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE OF TENNESSEE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERSTONE",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "GARBUTT",
        "authorized_official_first_name": "DORRESS",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "COMMUNITY HELTH WORKER",
        "authorized_official_telephone_number": "615-887-9872",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": "172V00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joaquin Joseph Quidachay Chaco Jr., RN
• Mary K Chandler
• Kodihalli P Channabasappa, MD

• Case Management Agency in Madison, TN
• Providers in Madison, TN by specialty
• Case Management Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.