Active NPI
Elite Sports Medicine and Orthopaedic Center, PLC
- Specialist
- Lebanon, TN
National Provider Identifier
1366868747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLC
- Practice address
- 1616 W Main St
Suite 203
Lebanon, TN 37087-3100 - Phone
- (615) 284-2000
- Fax
- (615) 284-2003
- NPI assigned
- Mar 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Lawson, CPA
- Title
- Administrator
- Phone
- (615) 284-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1616 W Main St
Suite 203
Lebanon, TN 37087-3100
Mailing address
2004 Hayes St
Suite 200
Nashville, TN 37203-2646
Phone (615) 284-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3732025 | Other | TN | GROUP MEDICARE NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Elite Sports Medicine and Orthopaedic Center PLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Nashville, TN
- NPI 1679804462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610064000000",
"number": "1366868747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 HAYES ST",
"address_2": "SUITE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032646",
"telephone_number": "615-284-2000",
"fax_number": "615-284-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 W MAIN ST",
"address_2": "SUITE 203",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873100",
"telephone_number": "615-284-2000",
"fax_number": "615-284-2003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-10",
"last_updated": "2021-01-08",
"certification_date": "2021-01-05",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "615-284-2000",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NUMBER",
"identifier": "3732025",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
- Derrick Edwards, LPC-MHSP
- Kennedy Ellen Eidenire, PMHNP
- Robert Chaffee Elam
- Elevate Medical Center, PLLC
- Elite Ambulance LLC
- Elite Sports Medicine and Orthopaedic Center, PLC
- Alexander Brice Elkins
- Desiree Ellison, FNP-C
- Employment & Assessment Solutions, Inc.
- Employment and Assessment Solutions, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.