Individual provider Active NPI

Christina L Lannom, DO

  • Internal Medicine Physician
  • Franklin, TN
National Provider Identifier
1700871191
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1509 Issued in TN
Practice address
4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone
(615) 435-6690
Fax
(615) 435-6692
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1509 TN Primary

Addresses

Primary practice location

4321 Carothers Pkwy
Franklin, TN 37067-5909

Mailing address

4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone (615) 435-6690

Other identifiers 1

IdentifierTypeStateIssuer
3307517MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422001123 TN Practitioner - Internal Medicine 0749276913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1509TNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Marshall Medical Center CurrentSince May 1, 2014 Accepting new patients
Maury Regional Medical Group, Inc Internal Medicine CurrentSince May 1, 2014 Accepting new patients
Holzer Clinic, LLC Past Accepting new patients
Cogent Healthcare of Tennessee, PC Internal Medicine Past Accepting new patients

Locations

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1700871191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 CAROTHERS PKWY",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675909",
            "telephone_number": "615-435-6690",
            "fax_number": "615-435-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 CAROTHERS PKWY",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675909",
            "telephone_number": "615-435-6690",
            "fax_number": "615-435-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNOM",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3307517",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.