NPIMap

Organization Active NPI

Addiction Center of Nashville LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Mandeville, LA
National Provider Identifier
1760076871
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
ADDICTION CENTER OF NASHVILLE LLC
Practice address
1770 Highway 59 Ste 2
Mandeville, LA 70448-1960
Phone
(985) 231-3288
Fax
(985) 231-3288
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Ruth Marcia Rothman, PHARM-D
Title
Ceo
Phone
(931) 548-3177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

1770 Highway 59 Ste 2
Mandeville, LA 70448-1960

Mailing address

109 Zuric CT
Nashville, TN 37221-2119
Phone (615) 715-8769

National Provider Directory

National Provider Directory
Tax ID family
Addiction Center of Nashville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1770 Highway 59
Ste 2
Mandeville, LA 70448
Phone (985) 231-3288

1300 Hatcher Ln
Ste 5
Columbia, TN 38401
Phone (931) 548-3177

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": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1760076871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ZURIC CT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212119",
            "telephone_number": "615-715-8769",
            "fax_number": "931-548-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 HIGHWAY 59 STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704481960",
            "telephone_number": "985-231-3288",
            "fax_number": "985-231-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION CENTER OF NASHVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "MARCIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-548-3177",
        "authorized_official_credential": "PHARM-D"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.