NPIMap

Organization Active NPI

Centennial Pediatrics PC

  • Pediatrics Physician
  • Nashville, TN
National Provider Identifier
1477588523
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CENTENNIAL PEDIATRICS PC
Practice address
310 25TH Ave N
Ste 201
Nashville, TN 37203
Phone
(615) 625-7112
Fax
(615) 625-7028
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Eddie D Hamilton, MDNPI 1538153192
Title
Ceo Owner
Phone
(615) 373-2248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

310 25TH Ave N
Ste 201
Nashville, TN 37203

Mailing address

310 25TH Ave N
Ste 201
Nashville, TN 37203
Phone (615) 625-7112

Other identifiers 1

IdentifierTypeStateIssuer
3731484MedicaidTN

National Provider Directory

National Provider Directory

Locations

125 Cool Springs Blvd
Ste 110
Franklin, TN 37067
Phone (320) 224-5600

125 Cool Springs Blvd
Ste 100
Franklin, TN 37067
Phone (615) 771-8552

1424 W Baddour Pkwy
Ste F
Lebanon, TN 37087
Phone (615) 443-2273

5002 Crossings Cir
Ste 201
Mt Juliet, TN 37122
Phone (615) 773-4128

330 Wallace Rd
Ste 109
Nashville, TN 37211
Phone (615) 832-5612

395 Wallace Rd
Ste 300
Nashville, TN 37211
Phone (615) 781-5006

Practitioners & affiliated clinicians

Practitioners 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1477588523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N",
            "address_2": "STE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-625-7112",
            "fax_number": "615-625-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N",
            "address_2": "STE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-625-7112",
            "fax_number": "615-625-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "615-373-2248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3731484",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2013; 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.