Organization Active NPI

Genexsure LLC

  • Genetic Counselor (M.S.)
  • Nashville, TN
National Provider Identifier
1780401190
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Legal business name
GENEXSURE LLC
Practice address
2019A Galbraith Dr
Nashville, TN 37215-3406
Phone
(615) 933-6014
NPI assigned
Sep 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Pradeep Rao
Title
Chief Product Officer
Phone
(615) 933-6014

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.)Group: 193200000X MULTI-SPECIALTY GROUP 170300000X Primary
Clinical Genetics (M.D.) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SG0201X

Addresses

Primary practice location

2019A Galbraith Dr
Nashville, TN 37215-3406

Mailing address

6339 Charlotte Pike # 918
Nashville, TN 37209-2926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250716000001 VA Part B Supplier - Clinic/Group Practice 8527573831 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsburg, VA
O20250829003128 TN Part B Supplier - Clinic/Group Practice 8527573831 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1780401190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 CHARLOTTE PIKE # 918",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372092926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019A GALBRAITH DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153406",
            "telephone_number": "615-933-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEXSURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_title_or_position": "CHIEF PRODUCT OFFICER",
        "authorized_official_telephone_number": "615-933-6014"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.