Pontchartrain Medical Group, a Professional Corporation

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

PONTCHARTRAIN MEDICAL GROUP, A PROFESSIONAL CORPORATION

Practice address

200 Powell PL
Attn: Legal Department
Brentwood, TN 37027-7514

Phone

(615) 732-1605

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Mark A Calarco, DO

Title

Ceo

Phone

(615) 712-5862

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1356704357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 POWELL PL",
            "address_2": "ATTN: LEGAL DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277514",
            "telephone_number": "615-732-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 POWELL PL",
            "address_2": "ATTN: LEGAL DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277514",
            "telephone_number": "615-732-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTCHARTRAIN MEDICAL GROUP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "CALARCO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-712-5862",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Polk, DC
• Michael Pollard
• Abby Pollock, LPC-MHSP
• Morgan Leigh Polston, M.S., CF-SLP
• Terry Brent Ponder, M.D.
• Lauren Ellis Poole, DMD
• Alexis Poplion
• Natalie D Popp, MA, LPC-MHSP (TEMP)
• Kiara Carolina Porro, DNP, APRN, PMHNP-BC
• Hilda Evangeline Porter, RN, FNP, CNS

• Addiction Medicine (Psychiatry & Neurology) Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.