Organization Active NPI

Internal Medicine Associates LLC

  • Legal Medicine
  • Smyrna, TN
National Provider Identifier
1669671368
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
31321 Issued in TN
Legal business name
INTERNAL MEDICINE ASSOCIATES LLC
Practice address
121 Mayfield Dr
Smyrna, TN 37167-3018
Phone
(615) 459-4686
Fax
(615) 459-4086
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Dr. Ukpong Nwankwo, MDNPI 1518914050
Title
Medical Director
Phone
(615) 459-4686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 31321 TN Primary

Addresses

Primary practice location

121 Mayfield Dr
Smyrna, TN 37167-3018

Mailing address

121 Mayfield Dr
Smyrna, TN 37167-3018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041007000455 TN Part B Supplier - Clinic/Group Practice 6800855636 Receives reassigned benefits from 4 practitioners
Practice locations: Smyrna, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1040365Internal Medicine Associates121 Mayfield Drive, Smyrna, TN 37167Certificate of waiverMay 5, 2027

National Provider Directory

National Provider Directory

Locations

451 N Thompson Ln
Ste C
Murfreesboro, TN 37129
Phone (615) 896-6446

121 Mayfield Dr
Smyrna, TN 37167
Phone (615) 459-4686

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIEBBA

Practitioners & affiliated clinicians

Practitioners 8

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1669671368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MAYFIELD DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAYFIELD DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673018",
            "telephone_number": "615-459-4686",
            "fax_number": "615-459-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "UKPONG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-459-4686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "31321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.