Sycamore Valley Acquisition Company, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SYCAMORE VALLEY ACQUISITION COMPANY, PLLC

Practice address

313 N Main St
Ashland City, TN 37015-1319

Phone

(615) 792-1911

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Misty Holloway

Title

Administrator

Phone

(615) 792-1911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sycamore Valley Medical Group, PLLC 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.

• James R Anderson, MD

  • Family Medicine Physician
  • Kingston Springs, TN
  • NPI 1184620460
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689604365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N MAIN ST",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N MAIN ST",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151319",
            "telephone_number": "615-792-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE VALLEY ACQUISITION COMPANY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-792-1911"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3721906",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Valley Medical Group, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey St Cyr, APN
• State of Tennessee
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• Stepping Stones Consulting, LLC
• Timothy Chad Street, APRN, FNP-BC
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• Tennessee Em-I Medical Services, PC
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• Averie Thayer, DOT
• The Waters of Cheatham LLC

• Family Medicine Physician in Ashland City, TN
• Providers in Ashland City, TN by specialty
• Family 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.