Organization Active NPI

Carespot Professional Services of Middle Tennessee LLC

  • Urgent Care Clinic/Center
  • Brentwood, TN
National Provider Identifier
1770829053
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CARESPOT PROFESSIONAL SERVICES OF MIDDLE TENNESSEE LLC
Practice address
115 East Park Dr
Suite 300
Brentwood, TN 37027-2311
Phone
(615) 600-4103
Fax
(615) 309-4624
NPI assigned
Dec 14, 2012
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Jon M Sundock
Title
Chief Admin Officer & Gen Counsel
Phone
(615) 600-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

115 East Park Dr
Suite 300
Brentwood, TN 37027-2311

Mailing address

115 East Park Dr
Suite 300
Brentwood, TN 37027-2311
Phone (615) 600-4103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1770829053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EAST PARK DR",
            "address_2": "SUITE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272311",
            "telephone_number": "615-600-4103",
            "fax_number": "615-309-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAST PARK DR",
            "address_2": "SUITE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272311",
            "telephone_number": "615-600-4103",
            "fax_number": "615-309-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESPOT PROFESSIONAL SERVICES OF MIDDLE TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "SUNDOCK",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF ADMIN OFFICER & GEN COUNSEL",
        "authorized_official_telephone_number": "615-600-4060"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 4, 2014; 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.