Organization Active NPI

Eden Medical Clinic, LLC

  • Urology Physician
  • Franklin, TN
National Provider Identifier
1386025732
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0000004878 Issued in TN
Legal business name
EDEN MEDICAL CLINIC, LLC
Practice address
508 Autumn Springs CT
Suite 1B
Franklin, TN 37067-8272
Phone
(615) 628-8852
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
James M Fitts, M.D.
Title
Owner
Phone
(615) 628-8852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 0000004878 TN Primary

Addresses

Primary practice location

508 Autumn Springs CT
Suite 1B
Franklin, TN 37067-8272

Mailing address

508 Autumn Springs CT
Suite 1B
Franklin, TN 37067-8272
Phone (615) 628-8852

National Provider Directory

National Provider Directory

Locations

508 Autumn Springs Ct
Ste 1B
Franklin, TN 37067
Phone (615) 628-8852

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1386025732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 AUTUMN SPRINGS CT",
            "address_2": "SUITE 1B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678272",
            "telephone_number": "615-628-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 AUTUMN SPRINGS CT",
            "address_2": "SUITE 1B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678272",
            "telephone_number": "615-628-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "FITTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-628-8852",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TN",
            "license": "0000004878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.