NPIMap

Organization Active NPI

Ultra Health LLC

Doing business as Ultra Health Provders

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
National Provider Identifier
1922469543
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
ULTRA HEALTH LLC
Doing business as
Ultra Health Provders
Practice address
217 6TH Ave N Ste 43952
Nashville, TN 37219-1903
Phone
(731) 394-1145
NPI assigned
Mar 9, 2016
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Timothy Martinez
Title
Ceo
Phone
(731) 394-1145

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X
Geriatric Medicine (Internal Medicine) Physician 207RG0300X Primary

Addresses

Primary practice location

217 6TH Ave N Ste 43952
Nashville, TN 37219-1903

Mailing address

PO Box 269084
Dept 1102
Oklahoma City, OK 73126-9084

Other names 1

  • Ultra Health Provders Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, MS, OH, AL, IN, MO, GA, TX, NJ10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20160607002194 TN Part B Supplier - Clinic/Group Practice 6800186602 Receives reassigned benefits from 50 practitioners
Practice locations: Bells, TN
O20181109001113 KY Part B Supplier - Clinic/Group Practice 6800186602 Receives reassigned benefits from 62 practitioners
Practice locations: Madisonville, KY; Jamestown, KY; Lebanon, KY; Leitchfield, KY; Jackson, KY; Middlesboro, KY; Morganfield, KY; Murray, KY…
O20190906001744 MS Part B Supplier - Clinic/Group Practice 6800186602 Receives reassigned benefits from 26 practitioners
Practice locations: Starkville, MS; Amory, MS; Tylertown, MS; Tupelo, MS; Southaven, MS; Shelby, MS; Ripley, MS; Quitman, MS…
O20191230002589 OH Part B Supplier - Clinic/Group Practice 6800186602 Receives reassigned benefits from 28 practitioners
Practice locations: Ironton, OH; Kenton, OH; Louisville, OH; Lucasville, OH; Mason, OH; Maumee, OH; Richfield, OH; Warren, OH…
O20200212001980 AL Part B Supplier - Clinic/Group Practice 6800186602 Receives reassigned benefits from 15 practitioners
Practice locations: Pleasant Grove, AL; Winfield, AL; Red Bay, AL; Oxford, AL; Montgomery, AL; Carbon Hill, AL; Bessemer, AL; Alabaster, AL…
O20210429003004 IN Part B Supplier - Clinic/Group Practice 6800186602 Receives reassigned benefits from 3 practitioners
Practice locations: Evansville, IN
O20220816002968 MO Part B Supplier - Clinic/Group Practice 6800186602 Practice locations: Caruthersville, MO; Matthews, MO
O20220916000007 GA Part B Supplier - Clinic/Group Practice 6800186602 Receives reassigned benefits from 22 practitioners
Practice locations: Waynesboro, GA; Atlanta, GA; Warrenton, GA; Tybee Island, GA; Savannah, GA; Jeffersonville, GA; Quitman, GA; Athens, GA…
O20230315002267 TX Part B Supplier - Clinic/Group Practice 6800186602 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX
O20250520002158 NJ Part B Supplier - Clinic/Group Practice 6800186602 Receives reassigned benefits from 4 practitioners
Practice locations: Hamilton Square, NJ; Lawrenceville, NJ; Mercerville, NJ; Trenton, NJ

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

350 4th St NW
Carbon Hill, AL 35549
Phone (205) 924-4404

525 Bentee Wes Ct
Evansville, IN 47715
Phone (812) 471-3100

1945 Scottsville Rd
Ste B2272
Bowling Green, KY 42104

1945 Scottsville Rd
Ste B272
Bowling Green, KY 42104

300 Westwood St
Glasgow, KY 42141
Phone (270) 282-7046

200 Medical Center Dr
Harlan, KY 40831
Phone (606) 573-7250

390 Park Ave
Hazard, KY 41701
Phone (606) 439-2306

620 Parker Rd
Maysville, KY 41056
Phone (606) 564-4085

4728 Highway 39 N
Meridian, MS 39301
Phone (601) 482-8151

1730 Dorchester Dr
Southaven, MS 38671
Phone (662) 226-2442

1320 Mahoning Ave NW
Warren, OH 44483
Phone (330) 373-1160

1169 S Dupree Ave
Brownsville, TN 38012
Phone (731) 772-1616

41 Hospital Dr
Lexington, TN 38351
Phone (731) 968-6629

406 N Spring St
McMinnville, TN 37110
Phone (931) 507-1212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 210

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 210

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1922469543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269084",
            "address_2": "DEPT 1102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 6TH AVE N STE 43952",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191903",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-394-1145"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra Health Provders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 14, 2026; 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.