Hermitage Internal Medecine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24187 Issued in TN

Legal business name

HERMITAGE INTERNAL MEDECINE PC

Practice address

3901 Central Pike
Hermitage, TN 37076-3419

Phone

(615) 874-0811

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael BeckhamNPI 1053303248

Title

President

Phone

(615) 329-3603

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael Thomas Beckham, MD

  • Internal Medicine Physician
  • Hermitage, TN
  • NPI 1053303248
  NPD (past) Authorized official

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679515365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763421",
            "telephone_number": "615-874-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763419",
            "telephone_number": "615-874-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE INTERNAL MEDECINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECKHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-329-3603",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "24187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hermitage Dentistry GPS PLLC
• Hermitage Eye Care PLLC
• Hermitage Family & Cosmetic Dentistry, P.C.
• Hermitage Family Practice LLC
• Hermitage Inpatient Services PLLC
• Hermitage Modern Dentistry, PC
• Hermitage Nursing & Rehabilitation Center LLC
• Hermitage Pediatric Dentistry
• Hermitage Primary Care LLC
• Hermitage Psychiatric Group

• Internal Medicine Physician in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.