Murfreesboro Medical Clinic, P.a.
Organization Active NPI Specialist · Murfreesboro, TN
NPI 1487604609 · NPPES record last updated Dec 9, 2025
Key facts
- NPI
- 1487604609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- MURFREESBORO MEDICAL CLINIC, P.A.
- Practice address
- 1272 Garrison Dr
Murfreesboro, TN 37129-2598 - Phone
- (615) 893-4480
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph Peay
- Title
- Ceo
- Phone
- (615) 867-7872
Other NPIs on the same Medicare enrollment 1
-
Wanda B Cade, MD
Other NPIs with the same Medicare PAC ID 2
Practitioners 308
-
Kelly Nicole Barnett, FNP-C
-
David Anderson Beaird, M.D.
-
Tammy Bello, FNP-C
-
Nicholas Sterling Cote, D.O.
-
Jessica Weigand Cox, PA-C
-
Deana Rae Dench, FNP-C
-
Rachael Doster, FNP-BC
-
Roy Lee Hood, M.D.
-
Shawn Luke Horwitz, D.O.
-
Albert Kattine, M.D.
-
John T. Kolisnyk, DO
-
Nadine Kosanovich, FNP-BC
-
Bradley Medling, MD
-
Jonathan Morgan, CRNA
-
Stephanie Petrina Noack, M.D.
-
Asim Razzaq, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2169046 | Murfreesboro Medical Clinic, PA | Compliance | Feb 2, 2028 |
| 44D2302048 | Murfreesboro Medical Clinic, PA | Compliance | Feb 23, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928000967 | TN | Practitioner - Pediatric Medicine | 0648351205 |
Reassigns benefits to 1 organization 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
| O20031206000010 | TN | Part B Supplier - Clinic/Group Practice | 4789589227 |
Receives reassigned benefits from 270 practitioners Practice locations: Murfreesboro, TN |
| O20040318001578 | TN | Part B Supplier - Clinic/Group Practice | 4789589227 |
Receives reassigned benefits from 11 practitioners Practice locations: Murfreesboro, TN |
National Provider Directory
Locations
2042 Lascassas Pike
Murfreesboro, TN 37130
1430 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 867-8200
247 W Northfield Blvd
Murfreesboro, TN 37129
1272 Garrison Dr
#309
Murfreesboro, TN 37129
237 W Northfield Blvd
Murfreesboro, TN 37129
Phone (615) 890-9008
3626 Shelbyville Hwy
Murfreesboro, TN 37127
Phone (615) 867-8002
1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925
2658 New Salem Hwy
Ste A1
Murfreesboro, TN 37128
2323 21st Ave S
Ste 306
Nashville, TN 37212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
1272 Garrison Dr
Murfreesboro, TN 37129-2598
Mailing address
1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 867-7925
Other practice location 1
1611 McArthur St
Manchester, TN 37355-2532
Phone (615) 893-4480
Other practice location 2
3626 Shelbyville Hwy
Murfreesboro, TN 37127-6382
Phone (615) 893-4480
Other practice location 3
2658 New Salem Hwy Ste A11
Murfreesboro, TN 37128-5264
Phone (615) 893-4480
Other practice location 4
2042 New Lascassas Hwy Ste A1
Murfreesboro, TN 37130-2034
Phone (615) 893-4480
Other practice location 5
3325 Shores Rd
Murfreesboro, TN 37128-3616
Phone (615) 893-4480
Other practice location 6
1430 Medical Center Pkwy
Murfreesboro, TN 37129-2202
Phone (615) 893-4480
Other practice location 7
237 W Northfield Blvd
Murfreesboro, TN 37129-0531
Phone (615) 893-4480
Other providers in Murfreesboro, TN
- Murfreesboro Family Medicine
- Murfreesboro Family Medicine, LLC
- Murfreesboro Group Health, LLC
- Murfreesboro Hope Pain Center PLLC
- Murfreesboro Medical Clinic, P.a.
- Murfreesboro Medical Clinic, P.a.
- Murfreesboro Medical Clinic, P.a.
- Murfreesboro Modern Dentistry, PC
- Murfreesboro Nursing and Rehabilitation Center LLC
- Murfreesboro Optical Dispensary
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.