Organization Active NPI

Cole Family Practice

  • Primary Care Clinic/Center
  • Hermitage, TN
National Provider Identifier
1790012441
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
14101 Issued in TN
Legal business name
COLE FAMILY PRACTICE
Practice address
226 Jackson Meadows Dr
Hermitage, TN 37076-1425
Phone
(615) 874-3422
Fax
(615) 874-3465
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Mrs. Amy T Cole, FNP, CNMNPI 1528254562
Title
Owner/Nurse Practitioner
Phone
(615) 874-3422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 14101 TN Primary

Addresses

Primary practice location

226 Jackson Meadows Dr
Hermitage, TN 37076-1425

Mailing address

226 Jackson Meadows Dr
Hermitage, TN 37076-1425
Phone (615) 874-3422

Other identifiers 2

IdentifierTypeStateIssuer
14101OtherTNAPN
147084OtherTNRN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100224000616 TN Part B Supplier - Clinic/Group Practice 4082758347 Receives reassigned benefits from 13 practitioners
Practice locations: Hermitage, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1028911Cole Family Practice226 Jackson Meadows Dr, Hermitage, TN 37076Provider-performed microscopyAug 4, 2026

National Provider Directory

National Provider Directory

Locations

226 Jackson Meadows Dr
Hermitage, TN 37076
Phone (615) 874-3422

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1790012441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 JACKSON MEADOWS DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761425",
            "telephone_number": "615-874-3422",
            "fax_number": "615-874-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 JACKSON MEADOWS DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761425",
            "telephone_number": "615-874-3422",
            "fax_number": "615-874-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "615-874-3422",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP, CNM"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "14101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN",
            "identifier": "14101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "147084",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.