Medical Group - Southern Hills of Brentwood LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDICAL GROUP - SOUTHERN HILLS OF BRENTWOOD LLC

Practice address

317 Seven Springs Way
Suite 104
Brentwood, TN 37027

Phone

(615) 377-4999

Fax

(615) 377-8830

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Rydburg

Title

Vice President

Phone

(615) 373-7615

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medical Group - Southern Hills of Brentwood LLC Doing business as

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1811046345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY",
            "address_2": "SUITE 104",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-377-4999",
            "fax_number": "615-377-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY",
            "address_2": "SUITE 104",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-377-4999",
            "fax_number": "615-377-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP - SOUTHERN HILLS OF BRENTWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "RYDBURG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-373-7615",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370012",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Group - Southern Hills of Brentwood LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra McWilliams
• Bernadette J Meadors, M.D.
• Kerry Meadows, DC
• Medcare Mobile, LLC
• Ashly Marie Medeiros, APRN
• Medical Group-Southern Hills of Nolensville LLC
• Karly Medill
• Luis Enrique Medina, PHARM D
• Courtney Medlen, DPT
• Chelsey Medley, APN

• Family Medicine Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.