Active NPI
Focus-MD Tn1017, PLLC
- Pediatrics Physician
- Hendersonville, TN
National Provider Identifier
1588032387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
- 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
- Dr. Madeline Ellis, MD
- Title
- Physician
- Phone
- (615) 686-2346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 DirectoryLocations
105 Bluegrass Commons Blvd
Ste B
Hendersonville, TN 37075
Phone (615) 686-2346
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.