Active NPI
Center Hill Medical, PLLC
- Family Medicine Physician
- Smithville, TN
National Provider Identifier
1861872012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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.
- 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.
-
- Family Nurse Practitioner
- Smithville, TN
- NPI 1053864611
-
- Emergency Medicine Physician
- Murfreesboro, TN
- NPI 1083318505
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0307818 | Center Hill Medical PLLC | Certificate of waiver | Jun 27, 2028 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150714001155 | TN | Part B Supplier - Clinic/Group Practice | 4486967866 |
Receives reassigned benefits from 3 practitioners Practice locations: Smithville, TN |
National Provider Directory
National Provider DirectoryLocations
516 W Main St
Ste C
Smithville, TN 37166
Phone (615) 597-4049
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q013443 | Medicaid | TN |
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.