M3Medical Inc.

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

Legal business name

M3MEDICAL INC.

Practice address

9000A Church St E
Brentwood, TN 37027-5255

Phone

(615) 861-0994

Fax

(615) 645-9606

NPI assigned

Sep 15, 2020

Last updated

Sep 28, 2020By 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

Dr. Matthew G. Michaels, MD

Title

Ceo

Phone

(615) 861-0994

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1629683750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000A CHURCH ST E",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275255",
            "telephone_number": "615-861-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000A CHURCH ST E",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275255",
            "telephone_number": "615-861-0994",
            "fax_number": "615-645-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M3MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-861-0994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q051257",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Lyle, COTA/L
• Elizabeth Lynch
• Madison Whitney Lynch
• Laila S. Lyons, LPC-MHC
• Jeremy Brennan Lysinger
• Brian Mabry, LPC
• Emily Macco
• Zbigniew Mach, CCP
• Sarah Macleod
• Autumn Maddox

• Obesity Medicine (Family Medicine) Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Obesity Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.