Collins Family & Addiction Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COLLINS FAMILY & ADDICTION MEDICINE, PLLC

Doing business as

Blissful Addiction Recovery

Practice address

4777 Andrew Jackson Pkwy Ste 102
Hermitage, TN 37076-1356

Phone

(615) 915-2226

Fax

(629) 202-7956

NPI assigned

Feb 7, 2020

Last updated

Feb 10, 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

Kimberly Collins, MDNPI 1033343728

Title

Owner

Phone

(615) 438-7739

Specialties & licenses 2

Addresses

Other names 1

• Blissful Addiction Recovery Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Kimberly Rochelle Collins, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Antioch, TN
  • NPI 1033343728
  Medicare reassignment NPD Authorized official
• Candy Holder McCall, FNP

  • Family Nurse Practitioner
  • Statesville, NC
  • NPI 1780873240

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1457983546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 ANDREW JACKSON PKWY STE 102",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761356",
            "telephone_number": "615-915-2226",
            "fax_number": "629-202-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 ANDREW JACKSON PKWY STE 102",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761356",
            "telephone_number": "615-915-2226",
            "fax_number": "629-202-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS FAMILY & ADDICTION MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-438-7739",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blissful Addiction Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brad R Cohen, MD
• Cole Family Practice
• Amy T Cole, CNM, FNP
• Kesha Coleman
• Beatriz Collada, M.D.
• Angela Lyn Collins, PA-C
• Philip N Collis, M.D.
• Deborah Colton, LPE
• Columbia Dental Group PLLC
• Columbus Medical Services, LLC (The Columbus Organization)

• Family Medicine Physician in Hermitage, TN
• Providers in Hermitage, 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 10, 2023; 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.