Tristar Family Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TRISTAR FAMILY CARE, LLC

Practice address

313 N Main St FL 2
Ashland City, TN 37015-1347

Phone

(615) 792-1911

NPI assigned

Oct 10, 2016

Last updated

Jun 16, 2021By 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

Louis Joseph

Title

Group VP/Authorized Official

Phone

(615) 373-7630

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 14

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.

• Elizabeth Ann Underwood

  • Medical Physician Assistant
  • Springfield, TN
  • NPI 1861238271
  NPD
• Miranda Barrow, NP

  • Neonatal Nurse Practitioner
  • Nashville, TN
  • NPI 1053701052
  NPD (past)
• Ramesh Chadalavada, MD

  • Pulmonary Disease Physician
  • Springfield, TN
  • NPI 1487723342

  Internal Medicine

  NPD (past)
• Gabrielle Elise Saucedo Cook, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1710404413
  NPD (past)
• Jill Degraauw, FNP

  • Family Nurse Practitioner
  • Clarksville, TN
  • NPI 1508996547
  NPD (past)
• Barry T Dority

  • Nurse Practitioner
  • Springfield, TN
  • NPI 1215133400
  NPD (past)
• Morgan Harrison

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1134766280
  NPD (past)
• John Arthur Morehead, M.D.

  • Obstetrics & Gynecology Physician
  • Nashville, TN
  • NPI 1649267873
  NPD (past)
• Michele L Potter, PA-C

  • Physician Assistant
  • Franklin, TN
  • NPI 1871081166
  NPD (past)
• Sherri L Randolph, APRN, BC

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1639175854
  NPD (past)
• April Annette Reyes, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, TN
  • NPI 1639334097
  NPD (past)
• Mark Salavas Sanders, M.D.

  • Surgery Physician
  • Springfield, TN
  • NPI 1265495303
  NPD (past)

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1609326040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N MAIN ST FL 2",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151347",
            "telephone_number": "615-792-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N MAIN ST FL 2",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151347",
            "telephone_number": "615-792-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "GROUP VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-373-7630"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Averie Thayer, DOT
• The Waters of Cheatham LLC
• Phonethip Thepsiri
• Beth Thompson, MOT
• Nicolette Ashley Tomaszewski, M.S.
• Kimberley Vance
• Steven Kent Vann, MAR, LPC-MHSP
• Sherry Vautier, LPC, LADAC II
• Janai Lyn Wagner, BS
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1226)

• Internal Medicine Physician in Ashland City, TN
• Providers in Ashland City, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.