Active NPI
The Little Clinic of Tennessee LLC
- Family Nurse Practitioner
- White House, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- THE LITTLE CLINIC OF TENNESSEE LLC
- Practice address
- 510 Highway 76
White House, TN 37188-9203 - Phone
- (615) 581-5089
- Fax
- (615) 581-5096
- NPI assigned
- Aug 29, 2007
- Last updated
- Oct 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Shelly
- Title
- VP & General Manger
- Phone
- (615) 425-4200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
510 Highway 76
White House, TN 37188-9203
Mailing address
PO Box 932958
Cleveland, OH 44193-0028
Phone (615) 425-4200
Other practice location 1
463 W Sam Ridley Pkwy
Smyrna, TN 37167-5626
Phone (615) 768-4258
Other practice location 2
3444 Plaza Ave
Memphis, TN 38111-4614
Phone (901) 730-4204
Other practice location 3
676 N Germantown Pkwy
Cordova, TN 38018-6210
Phone (901) 259-0986
Other practice location 4
237 E Main St
Hendersonville, TN 37075-2549
Phone (615) 431-3640
Other practice location 5
240 New Byhalia Rd
Collierville, TN 38017-3716
Phone (901) 492-4920
Other practice location 6
1010 Glenbrook Way
Hendersonville, TN 37075-1230
Phone (615) 590-1018
Other practice location 7
11635 Highway 70
Arlington, TN 38002-9778
Phone (901) 290-9290
Other practice location 8
2600 Memorial Blvd
Springfield, TN 37172-3925
Phone (615) 212-0920
Other practice location 9
3054 Columbia Ave
Franklin, TN 37064-7424
Phone (615) 550-0091
Other practice location 10
2011 Nashville Pike
Gallatin, TN 37066-3162
Phone (615) 575-1130
Other practice location 11
2946 S Church St
Murfreesboro, TN 37127-8351
Phone (615) 617-6410
Other practice location 12
1550 Oak Ridge Tpke
Oak Ridge, TN 37830-6205
Phone (865) 294-0221
Other practice location 13
507 Foothills Plz
Maryville, TN 37801-2312
Phone (865) 238-7450
Other practice location 14
11630 Highway 51 S
Atoka, TN 38004-7129
Phone (901) 837-5020
Other practice location 15
3685 S Houston Levee Rd
Collierville, TN 38017-9009
Phone (901) 457-2933
Other practice location 16
4726 Traders Way
Thompsons Station, TN 37179-5366
Phone (615) 550-2955
Other practice location 17
189 Brooklawn St
Farragut, TN 37934-2875
Phone (865) 392-9136
Other practice location 18
123 Northcreek Blvd
Goodlettsville, TN 37072-1997
Phone (615) 851-5860
Other practice location 19
1418 W Main St Ste A
Lebanon, TN 37087-3380
Phone (615) 453-7720
Other practice location 20
4432 Veterans Pkwy
Murfreesboro, TN 37128-3977
Phone (615) 648-8505
Other practice location 21
6690 Nolensville Rd
Brentwood, TN 37027-8803
Phone (615) 941-7670
Other practice location 22
143 Henslee Dr
Dickson, TN 37055-2092
Phone (615) 441-5580
Other practice location 23
8141 State Highway 100
Bellevue, TN 37221-4213
Phone (615) 515-0026
Other practice location 24
1820 Roane State Hwy
Harriman, TN 37748-8307
Phone (865) 717-4468
Other practice location 25
4900 Port Royal Rd
Spring Hill, TN 37174-2804
Phone (931) 560-2164
Other practice location 26
5544 Old Hickory Blvd
Hermitage, TN 37076-2576
Phone (615) 515-0029
Other practice location 27
2449 Old Fort Pkwy
Murfreesboro, TN 37128-4162
Phone (615) 225-0140
Other practice location 28
401 S Mount Juliet Rd
Mount Juliet, TN 37122-6359
Phone (615) 758-1524
Other practice location 29
2131 Abbott Martin Rd
Nashville, TN 37215-2615
Phone (615) 515-9905
Other practice location 30
234 E Emory Rd
Powell, TN 37849-4015
Phone (865) 761-7125
Other practice location 31
210 Franklin Rd Ste 100
Brentwood, TN 37027-3218
Phone (615) 393-6550
Other practice location 32
6702 Clinton Hwy
Knoxville, TN 37912-1018
Phone (865) 293-4269
Other practice location 33
9025 US Highway 64
Lakeland, TN 38002-7981
Phone (901) 387-2998
Other practice location 34
7087 Highway 70 S
Nashville, TN 37221-2269
Phone (615) 393-6490
Other practice location 35
7615 US Highway 70
Bartlett, TN 38133-2054
Phone (901) 969-1773
Other practice location 36
7735 Farmington Blvd
Germantown, TN 38138-2901
Phone (901) 757-6805
Other practice location 37
9161 Middlebrook Pike
Knoxville, TN 37923-1438
Phone (865) 670-0881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3370259 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1090111 | Little Clinic of Tennessee, LLC, the | Certificate of waiver | Oct 1, 2026 |
| 44D1090113 | Little Clinic of Tennessee, LLC, the | Certificate of waiver | Oct 1, 2026 |
| 44D1090732 | Little Clinic of Tennessee LLC, the | Certificate of waiver | Oct 16, 2026 |
| 44D1091915 | Little Clinic of Tennessee LLC, the | Certificate of waiver | Nov 12, 2026 |
| 44D1095646 | Little Clinic of Tennessee LLC, the | Certificate of waiver | Feb 11, 2027 |
| 44D1099494 | Little Clinic of Tennessee LLC, the | Certificate of waiver | May 13, 2027 |
| 44D1099506 | Little Clinic of Tennessee LLC, the | Certificate of waiver | May 14, 2027 |
| 44D1099507 | Little Clinic of Tennessee LLC, the | Certificate of waiver | May 14, 2027 |
| 44D2004713 | The Little Clinic of Tennessee LLC | Certificate of waiver | Mar 10, 2028 |
| 44D2057613 | Little Clinic of Tennessee LLC, the | Certificate of waiver | Apr 18, 2027 |
| 44D2057620 | Little Clinic of Tennessee LLC, the | Certificate of waiver | Apr 18, 2027 |
| 44D2058209 | Little Clinic of Tennessee LLC, the | Certificate of waiver | May 1, 2027 |
| 44D2065525 | The Little Clinic Tennessee LLC | Certificate of waiver | Sep 9, 2027 |
| 44D2077949 | The Little Clinic of Tennessee, LLC | Certificate of waiver | May 19, 2028 |
| 44D2078725 | The Little Clinic of Tennessee LLC | Certificate of waiver | Jun 2, 2028 |
| 44D2087576 | The Little Clinic of Tennessee LLC | Certificate of waiver | Nov 30, 2026 |
| 44D2095790 | The Little Clinic of Tennessee, LLC | Certificate of waiver | May 11, 2027 |
| 44D2096545 | The Little Clinic of Tennessee, LLC | Certificate of waiver | May 26, 2027 |
| 44D2101341 | The Little Clinic of Tennessee LLC | Certificate of waiver | Aug 31, 2027 |
| 44D2109860 | The Little Clinic of Tennessee LLC | Certificate of waiver | Mar 2, 2028 |
| 44D2115730 | Little Clinic of Tennessee LLC, the | Certificate of waiver | Jul 11, 2028 |
| 44D2115732 | Little Clinic of Tennessee LLC, the | Certificate of waiver | Jul 11, 2028 |
| 44D2126173 | Little Clinic of Tennessee LLC, the | Certificate of waiver | Feb 20, 2027 |
| 44D2127807 | Little Clinic of Tennessee LLC, the | Certificate of waiver | Mar 19, 2027 |
| 44D2171793 | Little Clinic of Tennessee LLC, the | Certificate of waiver | Sep 9, 2027 |
| 44D2232918 | Little Clinic of Tennessee LLC #43127, the | Certificate of waiver | Aug 17, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Pickerington, OH
- NPI 1245255967
Member Of
Locations
5270 Airline Rd
Arlington, TN 38002
Phone (901) 290-2842
11630 Highway 51 S
Atoka, TN 38004
Phone (901) 837-5010
210 Franklin Rd
Ste 100
Brentwood, TN 37027
Phone (615) 373-8957
6690 Nolensville Rd
Brentwood, TN 37027
Phone (615) 941-7640
240 New Byhalia Rd
Collierville, TN 38017
Phone (901) 492-4920
1010 Glenbrook Way
Hendersonville, TN 37075
Phone (615) 590-1018
237 E Main St
Hendersonville, TN 37075
Phone (615) 431-3640
9025 US Highway 64
Lakeland, TN 38002
Phone (901) 383-2265
1418 W Main St
Lebanon, TN 37087
Phone (615) 449-4653
1418 W Main St
Ste A
Lebanon, TN 37087
Phone (615) 449-4653
4120 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 553-5017
2325 Memorial Blvd
Murfreesboro, TN 37129
Phone (615) 225-0290
2131 Abbott Martin Rd
Nashville, TN 37215
Phone (615) 297-4431
7087 Highway 70 S
Nashville, TN 37221
Phone (615) 393-6490
8141 Highway 100
Nashville, TN 37221
Phone (615) 515-0026
234 E Emory Rd
Powell, TN 37849
Phone (865) 761-7110
463 W Sam Ridley Pkwy
Smyrna, TN 37167
Phone (615) 355-6620
4900 Port Royal Rd
Spring Hill, TN 37174
Phone (931) 560-2142
4910 Main St
Spring Hill, TN 37174
Phone (615) 302-5008
Practitioners & affiliated clinicians
Practitioners 404
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.
-
- Family Nurse Practitioner
- Harriman, TN
- NPI 1306517636
-
- Family Nurse Practitioner
- Oak Ridge, TN
- NPI 1770936312
-
- Family Nurse Practitioner
- Atoka, TN
- NPI 1902610199
-
- Family Nurse Practitioner
- Hermitage, TN
- NPI 1326419193
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1427492693
-
- Family Nurse Practitioner
- Murfreesboro, TN
- NPI 1205355146
-
- Family Nurse Practitioner
- Atoka, TN
- NPI 1821480294
-
- Family Nurse Practitioner
- Collierville, TN
- NPI 1609754589
-
- Family Nurse Practitioner
- Farragut, TN
- NPI 1447608211
-
- Family Nurse Practitioner
- Harriman, TN
- NPI 1538677828
-
- Family Nurse Practitioner
- Hendersonville, TN
- NPI 1558606848
-
- Family Nurse Practitioner
- Murfreesboro, TN
- NPI 1780814038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1487848800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932958",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930028",
"telephone_number": "615-425-4200",
"fax_number": "615-891-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 HIGHWAY 76",
"city": "WHITE HOUSE",
"state": "TN",
"postal_code": "371889203",
"telephone_number": "615-581-5089",
"fax_number": "615-581-5096"
}
],
"practiceLocations": [
{
"address_1": "463 W Sam Ridley Pkwy",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "TN",
"postal_code": "371675626",
"country_code": "US",
"telephone_number": "615-768-4258",
"fax_number": "615-768-4259",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3444 Plaza Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381114614",
"country_code": "US",
"telephone_number": "901-730-4204",
"fax_number": "901-730-4357",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "676 N Germantown Pkwy",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380186210",
"country_code": "US",
"telephone_number": "901-259-0986",
"fax_number": "901-259-0987",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "237 E Main St",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "TN",
"postal_code": "370752549",
"country_code": "US",
"telephone_number": "615-431-3640",
"fax_number": "615-431-3641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 New Byhalia Rd",
"address_purpose": "LOCATION",
"city": "Collierville",
"state": "TN",
"postal_code": "380173716",
"country_code": "US",
"telephone_number": "901-492-4920",
"fax_number": "901-492-4921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 Glenbrook Way",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "TN",
"postal_code": "370751230",
"country_code": "US",
"telephone_number": "615-590-1018",
"fax_number": "615-590-1019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11635 Highway 70",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TN",
"postal_code": "380029778",
"country_code": "US",
"telephone_number": "901-290-9290",
"fax_number": "901-290-9291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2600 Memorial Blvd",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "TN",
"postal_code": "371723925",
"country_code": "US",
"telephone_number": "615-212-0920",
"fax_number": "615-212-0921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3054 Columbia Ave",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "TN",
"postal_code": "370647424",
"country_code": "US",
"telephone_number": "615-550-0091",
"fax_number": "615-550-1397",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2011 Nashville Pike",
"address_purpose": "LOCATION",
"city": "Gallatin",
"state": "TN",
"postal_code": "370663162",
"country_code": "US",
"telephone_number": "615-575-1130",
"fax_number": "615-575-1131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2946 S Church St",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371278351",
"country_code": "US",
"telephone_number": "615-617-6410",
"fax_number": "615-617-6411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1550 Oak Ridge Tpke",
"address_purpose": "LOCATION",
"city": "Oak Ridge",
"state": "TN",
"postal_code": "378306205",
"country_code": "US",
"telephone_number": "865-294-0221",
"fax_number": "865-294-0222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "507 Foothills Plz",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "TN",
"postal_code": "378012312",
"country_code": "US",
"telephone_number": "865-238-7450",
"fax_number": "865-238-7451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11630 Highway 51 S",
"address_purpose": "LOCATION",
"city": "Atoka",
"state": "TN",
"postal_code": "380047129",
"country_code": "US",
"telephone_number": "901-837-5020",
"fax_number": "901-837-5021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3685 S Houston Levee Rd",
"address_purpose": "LOCATION",
"city": "Collierville",
"state": "TN",
"postal_code": "380179009",
"country_code": "US",
"telephone_number": "901-457-2933",
"fax_number": "901-457-2934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4726 Traders Way",
"address_purpose": "LOCATION",
"city": "Thompsons Station",
"state": "TN",
"postal_code": "371795366",
"country_code": "US",
"telephone_number": "615-550-2955",
"fax_number": "615-550-2956",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "189 Brooklawn St",
"address_purpose": "LOCATION",
"city": "Farragut",
"state": "TN",
"postal_code": "379342875",
"country_code": "US",
"telephone_number": "865-392-9136",
"fax_number": "865-392-9137",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "123 Northcreek Blvd",
"address_purpose": "LOCATION",
"city": "Goodlettsville",
"state": "TN",
"postal_code": "370721997",
"country_code": "US",
"telephone_number": "615-851-5860",
"fax_number": "615-851-5861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1418 W Main St Ste A",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "TN",
"postal_code": "370873380",
"country_code": "US",
"telephone_number": "615-453-7720",
"fax_number": "615-453-7721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4432 Veterans Pkwy",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371283977",
"country_code": "US",
"telephone_number": "615-648-8505",
"fax_number": "615-648-8506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6690 Nolensville Rd",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "TN",
"postal_code": "370278803",
"country_code": "US",
"telephone_number": "615-941-7670",
"fax_number": "615-941-7671",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "143 Henslee Dr",
"address_purpose": "LOCATION",
"city": "Dickson",
"state": "TN",
"postal_code": "370552092",
"country_code": "US",
"telephone_number": "615-441-5580",
"fax_number": "615-441-5581",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8141 State Highway 100",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "TN",
"postal_code": "372214213",
"country_code": "US",
"telephone_number": "615-515-0026",
"fax_number": "615-515-0027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1820 Roane State Hwy",
"address_purpose": "LOCATION",
"city": "Harriman",
"state": "TN",
"postal_code": "377488307",
"country_code": "US",
"telephone_number": "865-717-4468",
"fax_number": "865-717-4469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4900 Port Royal Rd",
"address_purpose": "LOCATION",
"city": "Spring Hill",
"state": "TN",
"postal_code": "371742804",
"country_code": "US",
"telephone_number": "931-560-2164",
"fax_number": "931-560-2165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5544 Old Hickory Blvd",
"address_purpose": "LOCATION",
"city": "Hermitage",
"state": "TN",
"postal_code": "370762576",
"country_code": "US",
"telephone_number": "615-515-0029",
"fax_number": "615-515-0030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2449 Old Fort Pkwy",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371284162",
"country_code": "US",
"telephone_number": "615-225-0140",
"fax_number": "615-225-0141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 S Mount Juliet Rd",
"address_purpose": "LOCATION",
"city": "Mount Juliet",
"state": "TN",
"postal_code": "371226359",
"country_code": "US",
"telephone_number": "615-758-1524",
"fax_number": "615-758-1525",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2131 Abbott Martin Rd",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372152615",
"country_code": "US",
"telephone_number": "615-515-9905",
"fax_number": "615-515-9906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "234 E Emory Rd",
"address_purpose": "LOCATION",
"city": "Powell",
"state": "TN",
"postal_code": "378494015",
"country_code": "US",
"telephone_number": "865-761-7125",
"fax_number": "865-761-7126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Franklin Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "TN",
"postal_code": "370273218",
"country_code": "US",
"telephone_number": "615-393-6550",
"fax_number": "615-393-6551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6702 Clinton Hwy",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379121018",
"country_code": "US",
"telephone_number": "865-293-4269",
"fax_number": "865-293-4270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9025 US Highway 64",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "TN",
"postal_code": "380027981",
"country_code": "US",
"telephone_number": "901-387-2998",
"fax_number": "901-387-2999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7087 Highway 70 S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372212269",
"country_code": "US",
"telephone_number": "615-393-6490",
"fax_number": "615-393-6491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7615 US Highway 70",
"address_purpose": "LOCATION",
"city": "Bartlett",
"state": "TN",
"postal_code": "381332054",
"country_code": "US",
"telephone_number": "901-969-1773",
"fax_number": "901-969-1774",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7735 Farmington Blvd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381382901",
"country_code": "US",
"telephone_number": "901-757-6805",
"fax_number": "901-757-6806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9161 Middlebrook Pike",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379231438",
"country_code": "US",
"telephone_number": "865-670-0881",
"fax_number": "865-694-2893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE LITTLE CLINIC OF TENNESSEE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-29",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "SHELLY",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "VP & GENERAL MANGER",
"authorized_official_telephone_number": "615-425-4200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3370259",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White House, TN
- Lori Snell, LPN
- Springfield Health Services, LLC (NorthCrest Sleep Center, a department of TriStar NorthCrest Medical Center)
- Megan Sullivan
- Harold Michael Swann, RPH
- Tennessee Dental Professionals PC (White House Family Dental Care)
- Thrive Wellness Counseling
- Elisha Danyeil Todorovic, LMP
- Kristie Lee Tziahanas, PA-C
- Mark S Vance, D.P.T.
- Casey Vanhoose
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.