NPIMap

Organization Active NPI

Rtna PC

  • Specialist
  • Nashville, TN
National Provider Identifier
1871830380
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RTNA PC
Practice address
336 22ND Ave N
Nashville, TN 37203-1844
Phone
(615) 346-8182
NPI assigned
Jan 4, 2013
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Dr. George R Lee III, MDNPI 1962434233
Title
President & Ceo
Phone
(615) 346-8182

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

336 22ND Ave N
Nashville, TN 37203-1844

Mailing address

336 22ND Ave N
Nashville, TN 37203-1844
Phone (615) 346-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, FL, NY, SC, AZ, DC7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20130520000507 TN Part B Supplier - Clinic/Group Practice 7911143128 Receives reassigned benefits from 6 practitioners
Practice locations: Nashville, TN
O20130627000139 TX Part B Supplier - Clinic/Group Practice 7911143128 Receives reassigned benefits from 15 practitioners
Practice locations: Dallas, TX
O20130729000095 FL Part B Supplier - Clinic/Group Practice 7911143128 Receives reassigned benefits from 2 practitioners
Practice locations: Port Orange, FL
O20160216001962 NY Part B Supplier - Clinic/Group Practice 7911143128 Receives reassigned benefits from 15 practitioners
Practice locations: New York, NY
O20190321000211 SC Part B Supplier - Clinic/Group Practice 7911143128 Receives reassigned benefits from 5 practitioners
Practice locations: Mt Pleasant, SC
O20210610001396 AZ Part B Supplier - Clinic/Group Practice 7911143128 Receives reassigned benefits from 2 practitioners
Practice locations: Peoria, AZ
O20230320002816 DC Part B Supplier - Clinic/Group Practice 7911143128 Receives reassigned benefits from 4 practitioners
Practice locations: Brookeville, MD; Potomac, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1871830380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031844",
            "telephone_number": "615-346-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031844",
            "telephone_number": "615-346-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTNA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "615-346-8182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 30, 2020; 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.