NPIMap

Organization Active NPI

Privia Medical Group Tennessee LLC

Doing business as Complete Health Partners

  • Emergency Medicine Physician
  • Nashville, TN
National Provider Identifier
1467224667
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PRIVIA MEDICAL GROUP TENNESSEE LLC
Doing business as
Complete Health Partners
Practice address
6746 Charlotte Pike
Nashville, TN 37209-4204
Phone
(571) 366-8850
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Mary L Roller
Title
Associate Director
Phone
(707) 312-5226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

6746 Charlotte Pike
Nashville, TN 37209-4204

Mailing address

3715 Northside Pkwy NW Ste 550
Atlanta, GA 30327-2886
Phone (770) 312-5226

Other practice location 1

166 E Main St
Hendersonville, TN 37075-2520
Phone (571) 366-8850

Other names 1

  • Complete Health Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Privia Medical Group Tennessee LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

166 E Main St
Hendersonvlle, TN 37075
Phone (615) 822-3000

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1467224667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 NORTHSIDE PKWY NW STE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272886",
            "telephone_number": "770-312-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6746 CHARLOTTE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094204",
            "telephone_number": "571-366-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 E Main St",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752520",
            "country_code": "US",
            "telephone_number": "571-366-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIVIA MEDICAL GROUP TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "ROLLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "707-312-5226"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 23, 2023; 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.