Star Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD17270 Issued in TN

Legal business name

STAR MEDICAL GROUP, LLC

Practice address

429 Nissan Dr
Suite 103
Smyrna, TN 37167-4366

Phone

(615) 459-5500

Fax

(615) 459-5541

NPI assigned

Sep 8, 2009

Organization subpart

No

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

Authorized official

Name

Richard Paul Garvin, MD

Title

Managing Member

Phone

(615) 459-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Hayley Gilliam, APN, FNP-BC

  • Family Nurse Practitioner
  • Smyrna, TN
  • NPI 1154641942
  NPD (past)
• Carley Lee McCloskey, NP

  • Adult Health Nurse Practitioner
  • Hixson, TN
  • NPI 1427386168
  NPD (past)
• Amanda J Howard, APN

  • Family Nurse Practitioner
  • Annapolis, MD
  • NPI 1689901373
  NPD (past)
• Anna R Samuel, ACNP

  • Acute Care Nurse Practitioner
  • Denison, TX
  • NPI 1639312671
  NPD (past)

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1386977429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371670266",
            "telephone_number": "615-459-5500",
            "fax_number": "615-459-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 NISSAN DR",
            "address_2": "SUITE 103",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674366",
            "telephone_number": "615-459-5500",
            "fax_number": "615-459-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "615-459-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD17270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1679521058",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spero Health of Tennessee, LLC
• Stephanie S Spicher, MS OT
• Spine and Pain Physicians Surgery Center, LLC
• Taylor Spurling
• Abbey Renee Stacey
• Kimberly Ann Starkman, MS CCC SLP
• Startlight Inc
• Natalie Thorne Stasch, MS, CCC-SLP
• State of Tennessee
• Luka Steele

• Internal Medicine Physician in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.