Wound Care Medical Group Tennessee PLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

WOUND CARE MEDICAL GROUP TENNESSEE PLC

Practice address

206 Deer Park Dr
Nashville, TN 37205-3319

Phone

(737) 703-8191

NPI assigned

Aug 9, 2024

Last updated

Nov 12, 2024By 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

Darrington Phillips Altenbern, MDNPI 1871596080

Title

Sole Owner, Auth Official

Phone

(615) 405-5235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Wound Care Medical Group Tennessee PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wound Care Medical Group Tennessee PLC

  • Durable Medical Equipment & Medical Supplies
  • Nashville, TN
  • NPI 1588495683
  NPD tax ID

Practitioners 2

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.

• Darrington Phillips Altenbern, M.D.

  • Obstetrics & Gynecology Physician
  • Nashville, TN
  • NPI 1871596080
  Medicare reassignment NPD Authorized official
• Miranda D White, APRN

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1427568260
  Medicare reassignment NPD

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1588495675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8161 HIGHWAY 100 # 264",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214213",
            "telephone_number": "737-703-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 DEER PARK DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053319",
            "telephone_number": "737-703-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE MEDICAL GROUP TENNESSEE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "ALTENBERN",
        "authorized_official_first_name": "DARRINGTON",
        "authorized_official_middle_name": "PHILLIPS",
        "authorized_official_title_or_position": "SOLE OWNER, AUTH OFFICIAL",
        "authorized_official_telephone_number": "615-405-5235",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Wortman, MD
• Wound Care Medical Group of Tennessee PLC
• Wound Care Medical Group of Tennessee PLC
• Wound Care Medical Group PLLC
• Wound Care Medical Group PLLC
• Wound Care Medical Group Tennessee PLC
• Wound Care Specialist, LLC.
• Wound Integrity Tennessee PA
• Wound Pros Tennessee
• Wound100 Tennessee

• Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.