Organization Active NPI

SRS-St. Thomas-Nashville

Doing business as SRS-St. Thomas-Nashville, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Nashville, TN
National Provider Identifier
1649052317
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SRS-ST. THOMAS-NASHVILLE
Doing business as
SRS-St. Thomas-Nashville, LLC
Practice address
4230 Harding Pike Ste 801
Nashville, TN 37205-2018
Phone
(615) 467-0140
Fax
(615) 259-0693
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Dr. Jerome S Tannenbaum, M.D., PH.D.
Title
Ceo
Phone
(615) 467-0140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

4230 Harding Pike Ste 801
Nashville, TN 37205-2018

Mailing address

4230 Harding Pike Ste 205
Nashville, TN 37205-2098
Phone (615) 467-0140

Other names 1

  • SRS-St. Thomas-Nashville, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4230 Harding Pike
Ste 801
Nashville, TN 37205
Phone (615) 679-7134

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1649052317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052098",
            "telephone_number": "615-467-0140",
            "fax_number": "615-259-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 801",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052018",
            "telephone_number": "615-467-0140",
            "fax_number": "615-259-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRS-ST. THOMAS-NASHVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-467-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRS-St. Thomas-Nashville, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SRS-St. Thomas-Nashville, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.