Tennessee Maternal Fetal Medicine PLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

TENNESSEE MATERNAL FETAL MEDICINE PLC

Practice address

575 E Bledsoe St
Gallatin, TN 37066-3054

Phone

(615) 230-1600

Fax

(615) 230-1630

NPI assigned

Feb 2, 2011

Last updated

Feb 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lola Clark

Title

Administrator

Phone

(615) 284-8636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tennessee Maternal-Fetal Medicine LLC

  • Specialist
  • Nashville, TN
  • NPI 1154333086

  O20070405000169

  Same enrollment

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1821394289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N",
            "address_2": "SUITE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032131",
            "telephone_number": "615-284-8636",
            "fax_number": "615-284-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E BLEDSOE ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663054",
            "telephone_number": "615-230-1600",
            "fax_number": "615-230-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE MATERNAL FETAL MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-284-8636",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee CVS Pharmacy, L.L.C. (CVS Pharmacy #06441)
• Tennessee Dental Professionals PC (Dental Care at Gorden Crossing)
• Tennessee Dental Professionals PC (Gallatin Dental Care)
• Tennessee in-Home Partner-I, LLC (HighPoint Homecare)
• Tennessee in-Home Partner-II, LLC (HighPoint Hospice)
• Tennessee Mental Wellness Inc. (Horizon Counseling)
• Tennessee Mental Wellness Premium LLC
• Tennessee Mobility, Inc
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Oncology Pharmacy Dispensing

• Medical Specialty Clinic/Center in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.