Organization Active NPI

Center Hill Medical, PLLC

  • Family Medicine Physician
  • Smithville, TN
National Provider Identifier
1861872012
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTER HILL MEDICAL, PLLC
Practice address
516 W Main St Ste C
Smithville, TN 37166-1142
Phone
(615) 597-4049
Fax
(615) 597-4068
NPI assigned
Jun 3, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Denise R. Dingle, M.D.NPI 1518974732
Title
Owner
Phone
(615) 597-4049

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

Practitioners 5

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

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
44D0307818Center Hill Medical PLLC516C West Main Street, Smithville, TN 37166Certificate of waiverJun 27, 2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150714001155 TN Part B Supplier - Clinic/Group Practice 4486967866 Receives reassigned benefits from 3 practitioners
Practice locations: Smithville, TN

National Provider Directory

National Provider Directory

Locations

516 W Main St
Ste C
Smithville, TN 37166
Phone (615) 597-4049

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

516 W Main St Ste C
Smithville, TN 37166-1142

Mailing address

516 W Main St Ste C
Smithville, TN 37166-1142
Phone (615) 597-4049

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
Q013443MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2016.

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1861872012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W MAIN ST STE C",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661142",
            "telephone_number": "615-597-4049",
            "fax_number": "615-597-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W MAIN ST STE C",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661142",
            "telephone_number": "615-597-4049",
            "fax_number": "615-597-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER HILL MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "DINGLE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-597-4049",
        "authorized_official_credential": "M.D."
    },
    "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": "Q013443",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.