Active NPI
Paul Andrew Justice Jr., M.D.
- Internal Medicine Physician
- Nashville, TN
National Provider Identifier
1538169867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD14630
- Practice address
- 339 White Bridge Pike
Nashville, TN 37209-3208 - Phone
- (615) 356-6877
- Fax
- (615) 356-8270
- NPI assigned
- Jul 28, 2005
- Last updated
- Sep 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD14630 | TN | Primary |
Addresses
Primary practice location
339 White Bridge Pike
Nashville, TN 37209-3208
Mailing address
339 White Bridge Pike
Nashville, TN 37209-3208
Phone (615) 356-6877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3144720 | Other | TN | BLUE CROSS BLUE SHIELD TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14630 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Urgent Care Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Nashville, TN
- NPI 1548258825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1538169867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 WHITE BRIDGE PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372093208",
"telephone_number": "615-356-6877",
"fax_number": "615-356-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 WHITE BRIDGE PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372093208",
"telephone_number": "615-356-6877",
"fax_number": "615-356-8270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "PAUL",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD14630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "3144720",
"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 Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.