Maple St Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAPLE ST MEDICAL PLLC

Practice address

130 S Maple St
Murfreesboro, TN 37130-3530

Phone

(615) 217-4770

Fax

(615) 217-7607

NPI assigned

Feb 7, 2023

Last updated

Feb 7, 2023By 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

George David Hopkins, MDNPI 1659473452

Title

Owner

Phone

(615) 217-4770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George David Hopkins, M.D.

  • Internal Medicine Physician
  • Murfreesboro, TN
  • NPI 1659473452
  Medicare reassignment NPD Authorized official
• Katherine Elizabeth Horn, AGNP-C

  • Primary Care Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1053051227
  Medicare reassignment Care Compare group NPD
• Courtney Iva Waters, FNP-C

  • Family Nurse Practitioner
  • Thompsons Station, TN
  • NPI 1851960215
  Medicare reassignment Care Compare group NPD
• Elizabeth Kelley, PA-C

  • Physician Assistant
  • Murfreesboro, TN
  • NPI 1699309724
  Medicare reassignment Care Compare group
• Lori Maignan

  • Adult Health Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1275778508
  Medicare reassignment NPD
• Connor Stickler, FNP-BC

  • Family Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1780302463
  Medicare reassignment NPD
• Ashley M Bjork, PA-C

  • Medical Physician Assistant
  • Murfreesboro, TN
  • NPI 1346676475
  NPD (past)
• Andrea Rubendunst, PA

  • Physician Assistant
  • Murfreesboro, TN
  • NPI 1922127745
  NPD (past)

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1427754795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAPLE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303530",
            "telephone_number": "615-217-4770",
            "fax_number": "615-217-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAPLE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303530",
            "telephone_number": "615-217-4770",
            "fax_number": "615-217-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE ST MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-217-4770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Haddox Manning, RKT
• Matthew Logan Manning
• Dena Manns
• Elaina Manuel, LMSW
• Mark Louis Manwaring, MD
• Kristen Marcantel
• Demyana L Marcos
• Mayra Marin
• Mark Weissinger, MD, PLLC
• Brittany Marks

• Family Medicine Physician in Murfreesboro, TN
• Providers in Murfreesboro, 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 Feb 7, 2023; 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.