Organization Active NPI

Jan Zwarts Valley, LLC

  • Multi-Specialty Clinic/Center
  • Franklin, TN
National Provider Identifier
1649420670
Registry record updated Sep 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
MD0000042744 Issued in TN
Legal business name
JAN ZWARTS VALLEY, LLC
Practice address
100 Beta Dr Unit a
Franklin, TN 37064-3912
Phone
(615) 866-6163
Fax
(615) 794-0081
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2019

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

Authorized official

Name
Dr. Ray White, PHD
Title
Administrator
Phone
(615) 866-6163

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LPC000001496 TN
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Case Management Agency 251B00000X L0000015386 TN
Community/Behavioral Health Agency 251S00000X LPC000001496 TN
In Home Supportive Care Agency 253Z00000X L0000015386 TN
Adult Day Care Clinic/Center 261QA0600X ADULT0047-000 TN
Multi-Specialty Clinic/Center 261QM1300X MD0000042744 TN Primary
Primary Care Clinic/Center 261QP2300X MD0000042744 TN
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X APN0000011911 TN

Addresses

Primary practice location

100 Beta Dr Unit a
Franklin, TN 37064-3912

Mailing address

1125 Cedarview LN
Franklin, TN 37067-4075
Phone (615) 975-2050

Other practice location 1

206 W Church St
Lewisburg, TN 37091-2758
Phone (931) 359-7833

Other identifiers 5

IdentifierTypeStateIssuer
445273MedicaidTN
1000000007398OtherTNTENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES
H445273MedicaidTN
I000000024968OtherTNPSSA LICENSE
L000000015386OtherTNPERSONAL SUPPORT SERVICES AGENCY LICENSE

Other names 1

  • JZV Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL aischc.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1116 Nashville Hwy
Ste 110
Columbia, TN 38401
Phone (931) 387-7567

206 Church St
Franklin, TN 37064

100 Beta Dr
Franklin, TN 37064

100 Beta Dr
#A
Franklin, TN 37064
Phone (615) 866-6163

1325 W Main St
Ste B
Franklin, TN 37064
Phone (615) 866-6163

1325 W Main St
Ste 2
Franklin, TN 37064

206 W Church St
Lewisburg, TN 37091
Phone (931) 359-7833

1331 Union Ave
Ste 1004
Memphis, TN 38104
Phone (901) 286-5231

8295 Tournament Dr
#116
Memphis, TN 38125

3200 West End Ave
#561
Nashville, TN 37203

3200 West End Ave
Ste 561
Nashville, TN 37203

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567296000000",
    "number": "1649420670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CEDARVIEW LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674075",
            "telephone_number": "615-975-2050",
            "fax_number": "615-465-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BETA DR UNIT A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643912",
            "telephone_number": "615-866-6163",
            "fax_number": "615-794-0081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 W Church St",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "TN",
            "postal_code": "370912758",
            "country_code": "US",
            "telephone_number": "931-359-7833",
            "fax_number": "615-794-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAN ZWARTS VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2019-09-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-866-6163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TN",
            "license": "LPC000001496",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": "L0000015386",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "LPC000001496",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L0000015386",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TN",
            "license": "ADULT0047-000",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TN",
            "license": "MD0000042744",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD0000042744",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000011911",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445273",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES",
            "identifier": "1000000007398",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445273",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSSA LICENSE",
            "identifier": "I000000024968",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL SUPPORT SERVICES AGENCY LICENSE",
            "identifier": "L000000015386",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aischc.com",
            "affiliation": "N",
            "endpointDescription": "Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Beta Dr Unit A",
            "city": "Franklin",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370643912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JZV Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.