Tennessee Style Weight Loss LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

TENNESSEE STYLE WEIGHT LOSS LLC

Practice address

355 New Shackle Island Rd Ste 128B
Hendersonville, TN 37075-2479

Phone

(309) 229-4338

NPI assigned

Jul 27, 2023

Organization subpart

No

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

Authorized official

Name

Jameil Abou-HannaNPI 1881129302

Title

Ceo

Phone

(309) 229-4338

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 5

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

• Jameil Abou-Hanna, M.D.

  • General Practice Physician
  • Cincinnati, OH
  • NPI 1881129302

  Surgery, TN

  Medicare reassignment Care Compare group NPD Authorized official
• Hannah Betke Lawrence, PA

  • Medical Physician Assistant
  • Hendersonville, TN
  • NPI 1790210508
  Medicare reassignment Care Compare group NPD
• Jenna Bishop, RD, LDN

  • Registered Dietitian
  • Hendersonville, TN
  • NPI 1518328665

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Kristine Nadler, MS, RD, CSOWM, LD

  • Registered Dietitian
  • Hendersonville, TN
  • NPI 1528608866

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Morgan Kate Prozan

  • Physician Assistant
  • Nashville, TN
  • NPI 1902518921
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1427739903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NEW SHACKLE ISLAND RD STE 128B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752479",
            "telephone_number": "309-229-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NEW SHACKLE ISLAND RD STE 128B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752479",
            "telephone_number": "309-229-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE STYLE WEIGHT LOSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "ABOU-HANNA",
        "authorized_official_first_name": "JAMEIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-229-4338"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee Orthopaedic Alliance PA (Tennessee Orthopaedic Alliance)
• Tennessee Pediatrics P.C.
• Tennessee Physicians Alliance PC (Cumberland Family Practice)
• Tennessee Sleep Solutions LLC (Embassy Dental)
• Tennessee Sports Medicine, PC
• Amy Elizabeth Tenney, PTA
• Tennrx, LLC (Hendersonville Health Mart)
• Tesfa
• Shannon Lee Tharp, PHARMD
• The Bridge Counseling, LLC

• Surgery Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.