Organization Active NPI

Tennessee Medic LLC

  • Non-emergency Medical Transport (VAN)
  • Nashville, TN
National Provider Identifier
1841703097
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
203266 Issued in TN
Legal business name
TENNESSEE MEDIC LLC
Practice address
325 Plus Park Blvd Ste 208
Nashville, TN 37217-1092
Phone
(615) 870-2545
NPI assigned
Nov 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Elmoeiz Elfaki
Title
Owner
Phone
(161) 587-0254

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 203266 TN Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

325 Plus Park Blvd Ste 208
Nashville, TN 37217-1092

Mailing address

325 Plus Park Blvd Ste 208
Nashville, TN 37217-1092
Phone (615) 870-2545

National Provider Directory

National Provider Directory

Locations

325 Plus Park Blvd
Ste 208
Nashville, TN 37217
Phone (615) 870-2545

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1841703097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 PLUS PARK BLVD STE 208",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372171092",
            "telephone_number": "615-870-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PLUS PARK BLVD STE 208",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372171092",
            "telephone_number": "615-870-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE MEDIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "ELFAKI",
        "authorized_official_first_name": "ELMOEIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "161-587-0254"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "203266",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "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 Nov 9, 2017; 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.