Martin Methodist Clinic

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

MARTIN METHODIST CLINIC

Practice address

625 W Madison St
Pulaski, TN 38478-2611

Phone

(931) 424-7338

Fax

(931) 424-7341

NPI assigned

Feb 7, 2013

Organization subpart

Yes

Parent organization

MARTIN METHODIST COLLEGEAs reported in NPPES

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

Authorized official

Name

Dr. Ted R. Brown, BA, M.DIV., PHD

Title

President

Phone

(931) 363-9802

Specialties & licenses 1

Addresses

Part of

Martin Methodist Clinic

Locations

Practitioners 1

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.

• Randi McElhaney Tuten, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Pulaski, TN
  • NPI 1841814332
  NPD

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1891034021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W MADISON ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384782716",
            "telephone_number": "931-363-9800",
            "fax_number": "931-363-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W MADISON ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384782611",
            "telephone_number": "931-424-7338",
            "fax_number": "931-424-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN METHODIST CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTIN METHODIST COLLEGE",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-363-9802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BA, M.DIV., PHD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Perez Maboloc
• Purushothaman Madhu, MD
• Magnolia Ranch Recovery LLC
• Magnolias Way LLC
• Valerie S. Manning, M.S. CCC-SLP
• Lani Marie Martin, DPT
• Mashburn Family Health, PLLC
• Beth Mason, COTA/L
• Wilson Morris Massey III, D.D.S.
• Matthew P McMasters

• Student Health Clinic/Center in Pulaski, TN
• Providers in Pulaski, TN by specialty
• Student Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.