David a Sack MD TN PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000021860 Issued in TN

Legal business name

DAVID A SACK MD TN PC

Practice address

6107 Pinewood Rd
Nunnelly, TN 37137-2523

Phone

(800) 849-5969

Fax

(931) 729-9632

NPI assigned

Jul 15, 2011

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Maplesden, CPC, CHC, CHPC

Title

Director of Revenue Cycle

Phone

(615) 510-3078

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1427346147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670521",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752670521",
            "telephone_number": "615-567-7282",
            "fax_number": "615-807-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 PINEWOOD RD",
            "city": "NUNNELLY",
            "state": "TN",
            "postal_code": "371372523",
            "telephone_number": "800-849-5969",
            "fax_number": "931-729-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A SACK MD TN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "615-510-3078",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000015776",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000007899",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000017055",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000021860",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000036454",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TN",
            "license": "MD21339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Taylor Berry, APRN
• Kimberley Dawn Burchett, BSSW, LADAC, NCACII
• Compass Health Systems of Tennessee
• Eva C Copeland, MS, RDN
• Taylor Dalton
• Brian Edward Fuller, M.D.
• Jordan McKenzie Osborne, PMHNP-BC
• PB Outpatient Services Tennessee, LLC (The Ranch Tennessee)
• Rhonda K Rodriguez, APRN, FPMHNP
• The Ranch

• Family Medicine Physician in Nunnelly, TN
• Providers in Nunnelly, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.