NPIMap

Organization Active NPI

Cedar Recovery Center of Middle Tennessee, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbia, TN
National Provider Identifier
1801345285
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC
Practice address
1512 Hatcher LN
Columbia, TN 38401-4825
Phone
(931) 948-8882
Fax
(931) 223-8717
NPI assigned
Sep 27, 2016
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Joseph Bond
Title
Owner
Phone
(615) 680-0110

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083A0300X Primary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric Hospital 283Q00000X

Addresses

Primary practice location

1512 Hatcher LN
Columbia, TN 38401-4825

Mailing address

5000 Crossings Cir Ste 103
Mount Juliet, TN 37122-8591
Phone (615) 288-1103

Other practice location 1

2839 Highway 231 N Ste 101
Shelbyville, TN 37160-7448
Phone (931) 488-4814

Other practice location 2

2636 N Mount Juliet Rd
Mount Juliet, TN 37122-8015
Phone (615) 680-0110

Other practice location 3

1405 W Baddour Pkwy Ste 101
Lebanon, TN 37087-2595
Phone (615) 994-1288

Other practice location 4

8712 Asheville Hwy
Knoxville, TN 37924-4501
Phone (865) 932-3633

Other practice location 5

2805 W Governor John Sevier Hwy
Knoxville, TN 37920-5552
Phone (865) 298-3558

Other practice location 6

17 W Madison Ave
Athens, TN 37303-4251
Phone (423) 717-2240

Other practice location 7

291 Clear Sky Ct Ste F
Clarksville, TN 37043-5951
Phone (931) 444-7020

Other practice location 8

170 Blevins Blvd
Bristol, VA 24202-6021
Phone (276) 285-3911

Other practice location 9

2525 Perimeter Place Dr Ste 105
Nashville, TN 37214-3674
Phone (615) 680-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200529001321 TN Part B Supplier - Clinic/Group Practice 0446671440 Receives reassigned benefits from 73 practitioners
Practice locations: Shelbyville, TN; Clarksville, TN; Nashville, TN; Mt Juliet, TN; Lebanon, TN; Knoxville, TN; Cookeville, TN; Columbia, TN…
O20240216001416 VA Part B Supplier - Clinic/Group Practice 0446671440 Receives reassigned benefits from 6 practitioners
Practice locations: Bristol, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

506 N High St
Columbia, TN 38401
Phone (931) 223-5455

8712 Asheville Hwy
Knoxville, TN 37924
Phone (865) 932-3633

2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110

Practitioners & affiliated clinicians

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1801345285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CROSSINGS CIR STE 103",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228591",
            "telephone_number": "615-288-1103",
            "fax_number": "615-549-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014825",
            "telephone_number": "931-948-8882",
            "fax_number": "931-223-8717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2839 Highway 231 N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371607448",
            "country_code": "US",
            "telephone_number": "931-488-4814",
            "fax_number": "931-492-4881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2636 N Mount Juliet Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371228015",
            "country_code": "US",
            "telephone_number": "615-680-0110",
            "fax_number": "615-754-6213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 W Baddour Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872595",
            "country_code": "US",
            "telephone_number": "615-994-1288",
            "fax_number": "615-547-4520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8712 Asheville Hwy",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379244501",
            "country_code": "US",
            "telephone_number": "865-932-3633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2805 W Governor John Sevier Hwy",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379205552",
            "country_code": "US",
            "telephone_number": "865-298-3558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 W Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373034251",
            "country_code": "US",
            "telephone_number": "423-717-2240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "291 Clear Sky Ct Ste F",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370435951",
            "country_code": "US",
            "telephone_number": "931-444-7020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Blevins Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242026021",
            "country_code": "US",
            "telephone_number": "276-285-3911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Perimeter Place Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372143674",
            "country_code": "US",
            "telephone_number": "615-680-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-680-0110"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.