Genesis Palliative Care, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GENESIS PALLIATIVE CARE, PLLC

Practice address

1642 Westgate Cir Ste 202
Brentwood, TN 37027-8195

Phone

(615) 941-8550

Fax

(615) 941-8507

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Robert L Forti, DO

Title

DO.,Owner

Phone

(615) 941-8550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADVANCED CARE GROUP Doing business as

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1902294549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 WESTGATE CIR STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278195",
            "telephone_number": "615-941-8550",
            "fax_number": "615-941-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 WESTGATE CIR STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278195",
            "telephone_number": "615-941-8550",
            "fax_number": "615-941-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PALLIATIVE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "FORTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DO.,OWNER",
        "authorized_official_telephone_number": "615-941-8550",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010936",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED CARE GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVANCED CARE GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Gayle, FNP
• Mary Rachel Gean, RDN
• Hilary Shank Gedge, M.ED, BCBA
• Christina Marie Gelbard, MD
• Stephen Geltch, RPH BACHELOR
• Makayla George, LCSW
• Mark George, CNIM
• Geriatric Clinical Consultants LLC
• Geriatrix of Massachusetts, Inc
• Cecilee Marie Gerling

• Nurse Practitioner in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.