Innovative Health Medical Clinic Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INNOVATIVE HEALTH MEDICAL CLINIC INC.

Practice address

727 S Main St
Middleton, TN 38052-3607

Phone

(731) 472-2072

NPI assigned

Sep 16, 2019

Organization subpart

No

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

Authorized official

Name

Teresa M Dillinger, NP

Title

Owner/Nurse Practitioner

Phone

(731) 472-2072

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlotte Montgomery, FNP

  • Family Medicine Physician
  • Middleton, TN
  • NPI 1164404166
  NPD (past)
• John B Woods, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Memphis, TN
  • NPI 1861452849
  NPD (past)
• Candice Leigh Heavener, FNP-C

  • Family Nurse Practitioner
  • Tiplersville, MS
  • NPI 1720754476
  NPD (past)

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1639729320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S MAIN ST",
            "city": "MIDDLETON",
            "state": "TN",
            "postal_code": "380523607",
            "telephone_number": "731-472-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S MAIN ST",
            "city": "MIDDLETON",
            "state": "TN",
            "postal_code": "380523607",
            "telephone_number": "731-472-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "DILLINGER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "731-472-2072",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.innovativehealthmedical.com/",
            "affiliation": "N",
            "endpointDescription": "Clinic Website",
            "address_1": "727 S Main St",
            "city": "Middleton",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380523607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Advanced Family Medical Center
• Anew Family Medical PLLC
• William Vidal Caicedo, FNP-C
• Teresa Morgan Dillinger, FNP
• Tonya Freeman, FNP-C
• Karl H. Warren, D.D.S.,P.C.
• Anna Leslie
• Middleton Pharmacy LLC
• Montgomery Family Health Center Inc
• Charlotte Montgomery, FNP

• Family Medicine Physician in Middleton, TN
• Providers in Middleton, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.