NPIMap

Organization Active NPI

Omni Community Health

  • Primary Care Clinic/Center
  • Nashville, TN
National Provider Identifier
1912306382
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
13784 Issued in TN
Legal business name
OMNI COMMUNITY HEALTH
Practice address
145 Thompson Lane
Nashville, TN 37211-2411
Phone
(615) 781-0013
Fax
(615) 781-0688
NPI assigned
Aug 21, 2014
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Mark Just
Title
Chief Executive Officer
Phone
(615) 726-3603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 13784 TN Primary

Addresses

Primary practice location

145 Thompson Lane
Nashville, TN 37211-2411

Mailing address

301 S. Perimeter Park Drive
Suite 210
Nashville, TN 37211-4128
Phone (615) 726-3603

Other identifiers 2

IdentifierTypeStateIssuer
Q019946MedicaidTN
3376955MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Omni Community Health Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

145 Thompson Ln
Nashville, TN 37211
Phone (615) 781-0013

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1912306382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S. PERIMETER PARK DRIVE",
            "address_2": "SUITE 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114128",
            "telephone_number": "615-726-3603",
            "fax_number": "615-827-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 THOMPSON LANE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112411",
            "telephone_number": "615-781-0013",
            "fax_number": "615-781-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "JUST",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "615-726-3603"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "13784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019946",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3376955",
            "state": "TN"
        }
    ],
    "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 Sep 2, 2020; 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.