NPIMap

Organization Active NPI

Cool Springs Internal Medicine & Pediatrics, PLLC.

  • Specialist
  • Brentwood, TN
National Provider Identifier
1699977348
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COOL SPRINGS INTERNAL MEDICINE & PEDIATRICS, PLLC.
Practice address
1607 Westgate Circle
Suite 200
Brentwood, TN 37027
Phone
(615) 376-8195
Fax
(615) 376-2601
NPI assigned
Jun 4, 2007
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Mr. Patrick Ryan Stearns
Title
Practice Administrator
Phone
(615) 835-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1607 Westgate Circle
Suite 200
Brentwood, TN 37027

Mailing address

1607 Westgate Circle
Suite 200
Brentwood, TN 37027
Phone (615) 376-8195

Other identifiers 1

IdentifierTypeStateIssuer
3372308MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040527000710 TN Part B Supplier - Clinic/Group Practice 8820079650 Receives reassigned benefits from 17 practitioners
Practice locations: Brentwood, TN; Franklin, TN

National Provider Directory

National Provider Directory

Locations

1608 Westgate Cir
Ste 200
Brentwood, TN 37027

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1699977348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 WESTGATE CIRCLE",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-376-8195",
            "fax_number": "615-376-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 WESTGATE CIRCLE",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-376-8195",
            "fax_number": "615-376-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOL SPRINGS INTERNAL MEDICINE & PEDIATRICS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "615-835-3880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3372308",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.