Perry Albert Carlson, R.N., C.P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APN0000015982 Issued in TN

Practice address

5073 Columbia Pike
Ste 150
Spring Hill, TN 37174-8607

Phone

(615) 302-2990

Fax

(615) 302-4638

NPI assigned

May 3, 2006

Last updated

Dec 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centennial Pediatrics PC

  • Pediatrics Physician
  • Nashville, TN
  • NPI 1477588523
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1487612818",
    "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": "372031515",
            "telephone_number": "615-329-0195",
            "fax_number": "615-329-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5073 COLUMBIA PIKE",
            "address_2": "STE 150",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371748607",
            "telephone_number": "615-302-2990",
            "fax_number": "615-302-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "PERRY",
        "middle_name": "ALBERT",
        "credential": "R.N., C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN0000015982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09584287",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QOO9646",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Campbell Station Dentistry Inc
• Sean Cannady, DO
• Holly Marie Capps, RDA
• Caring With Boundaries Home Health, LLC (CNB Home Health, LLC)
• Mary Carlisle
• David N Carnahan, M.D.
• Carol Montee, DMD, LLC
• Kailin Carrico
• April L Carroll, BSPT
• Amanda Jo Carter, LMT

• Pediatric Nurse Practitioner in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.