Southern Pediatrics of Cool Springs

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD29729 Issued in TN

Legal business name

SOUTHERN PEDIATRICS OF COOL SPRINGS

Practice address

1238 Monarch Way
Brentwood, TN 37027-2621

Phone

(615) 210-4194

NPI assigned

Jan 6, 2016

Last updated

Jan 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabriela Morel, MD

Title

Owner/MD

Phone

(615) 210-4194

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1518323518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 MONARCH WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-210-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 MONARCH WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272621",
            "telephone_number": "615-210-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PEDIATRICS OF COOL SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "MOREL",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "615-210-4194",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD29729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.