Organization Active NPI

Edmondson Pike Family Practice and Walk in Clinic

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1396700415
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38248 Issued in TN
Legal business name
EDMONDSON PIKE FAMILY PRACTICE AND WALK IN CLINIC
Practice address
5431 Edmondson Pike
Nashville, TN 37211-5806
Phone
(615) 332-7700
Fax
(615) 332-7707
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Dr. Jian Wei, MDNPI 1710975248
Title
MD/President
Phone
(615) 332-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 38248 TN Primary

Addresses

Primary practice location

5431 Edmondson Pike
Nashville, TN 37211-5806

Mailing address

5431 Edmondson Pike
Nashville, TN 37211-5806
Phone (615) 332-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051130000779 TN Part B Supplier - Clinic/Group Practice 1254351679 Receives reassigned benefits from 4 practitioners
Practice locations: Nashville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1047244Edmondson Pike Family Practice & Walk-in Clinic5431 Edmondson Pike, Nashville, TN 37211Certificate of waiverOct 30, 2027

National Provider Directory

National Provider Directory

Locations

5431 Edmondson Pike
Ste 10
Nashville, TN 37211
Phone (615) 498-9549

5431 Edmondson Pike
Nashville, TN 37211
Phone (615) 332-7700

5505 Edmondson Pike
Ste 10
Nashville, TN 37211
Phone (615) 332-7700

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1396700415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 EDMONDSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115806",
            "telephone_number": "615-332-7700",
            "fax_number": "615-332-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 EDMONDSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115806",
            "telephone_number": "615-332-7700",
            "fax_number": "615-332-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDSON PIKE FAMILY PRACTICE AND WALK IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "WEI",
        "authorized_official_first_name": "JIAN",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "615-332-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "38248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.