Emerald Group LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMERALD GROUP LLC

Doing business as

The Waterford Of Smyrna

Practice address

10540 Cedar Grove Rd
Smyrna, TN 37167-6555

Phone

(615) 223-0005

NPI assigned

Jan 30, 2019

Last updated

Jan 30, 2019By 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

Angela Davidson

Title

Executive Director

Phone

(615) 223-0005

Specialties & licenses 1

Addresses

Other names 1

• The Waterford Of Smyrna Doing business as

Locations

Practitioners 1

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.

• Nichola A Baker

  • Acute Care Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1124781562
  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1649734906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 CEDAR GROVE RD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676555",
            "telephone_number": "615-223-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 CEDAR GROVE RD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676555",
            "telephone_number": "615-223-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-223-0005"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waterford Of Smyrna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madyson Skye-Mae Ellard
• Caitlin O'Leary Elliott, FNP-C
• Susan E Elliott, FNP-C
• Alicia Michelle Ellis, ED.D., LPC-MHSP
• Stephanie Elizabeth Ellis
• Emerald Primary Care and Wellness Clinic (Emerald Primary Care and Wellness Clinic, PLLC)
• Lily Emerson
• Eminence Care LLC
• Empact Ambulance Service Inc
• Empact Medical Services

• Assisted Living Facility in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.