Third Circle Medical Clinic, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

THIRD CIRCLE MEDICAL CLINIC, LLC

Practice address

6011 Trotwood Ave Ste 400
Columbia, TN 38401-7022

Phone

(615) 505-8014

Fax

(931) 505-8013

NPI assigned

Oct 23, 2021

Organization subpart

No

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

Authorized official

Name

Cenchrea Lanier, MSN-ANP-BC

Title

NP

Phone

(615) 714-8715

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25188/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1891459152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 TROTWOOD AVE STE 400",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384017022",
            "telephone_number": "931-505-8014",
            "fax_number": "931-505-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 TROTWOOD AVE STE 400",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384017022",
            "telephone_number": "615-505-8014",
            "fax_number": "931-505-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD CIRCLE MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-23",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "CENCHREA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "615-714-8715",
        "authorized_official_credential": "MSN-ANP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE BOARD OF NURSING",
            "identifier": "16491",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE",
            "identifier": "114731",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1962775999",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thirdcirclemedical@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient",
            "address_1": "6011 Trotwood Ave Ste 400",
            "city": "Columbia",
            "state": "TN",
            "country_code": "US",
            "postal_code": "384017022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Columbia, TN
• Providers in Columbia, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.