Organization Active NPI

Focus-MD Tn1017, PLLC

  • Pediatrics Physician
  • Hendersonville, TN
National Provider Identifier
1588032387
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FOCUS-MD TN1017, PLLC
Practice address
105 Bluegrass Commons Blvd Ste B
Hendersonville, TN 37075-2772
Phone
(615) 686-2346
Fax
(615) 535-0230
NPI assigned
Sep 10, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Madeline Ellis, MDNPI 1699938688
Title
Physician
Phone
(615) 686-2346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X TN Primary

Addresses

Primary practice location

105 Bluegrass Commons Blvd Ste B
Hendersonville, TN 37075-2772

Mailing address

105 Bluegrass Commons Blvd Ste B
Hendersonville, TN 37075-2772
Phone (615) 686-2346

Other practice location 1

711 E Main St
Suite 107
Hendersonville, TN 37075-2741
Phone (615) 686-2346

Other practice location 2

711 E Main St
Suite 107
Hendersonville, TN 37075-2741
Phone (615) 686-2346

National Provider Directory

National Provider Directory

Locations

105 Bluegrass Commons Blvd
Ste B
Hendersonville, TN 37075
Phone (615) 686-2346

711 E Main St
Ste 107
Hendersonville, TN 37075
Phone (615) 264-4860

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1588032387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BLUEGRASS COMMONS BLVD STE B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752772",
            "telephone_number": "615-686-2346",
            "fax_number": "615-535-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BLUEGRASS COMMONS BLVD STE B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752772",
            "telephone_number": "615-686-2346",
            "fax_number": "615-535-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 E Main St",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752741",
            "country_code": "US",
            "telephone_number": "615-686-2346",
            "fax_number": "615-535-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 E Main St",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752741",
            "country_code": "US",
            "telephone_number": "615-686-2346",
            "fax_number": "615-535-0230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOCUS-MD TN1017, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "615-686-2346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.