Organization Active NPI

Elevate Medical Center, PLLC

  • General Practice Physician
  • Lebanon, TN
National Provider Identifier
1922853753
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ELEVATE MEDICAL CENTER, PLLC
Practice address
1002 W Main St
Lebanon, TN 37087-4637
Phone
(615) 444-2245
Fax
(615) 444-7656
NPI assigned
Apr 23, 2024
Last updated
Apr 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Christopher Don Townsend, DCNPI 1740350594
Title
Owner/Manager
Phone
(615) 444-2245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1002 W Main St
Lebanon, TN 37087-4637

Mailing address

1002 W Main St
Lebanon, TN 37087-4637
Phone (615) 444-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240709002107 TN Part B Supplier - Clinic/Group Practice 7214472711 Receives reassigned benefits from 2 practitioners
Practice locations: Lebanon, TN

National Provider Directory

National Provider Directory

Locations

1002 W Main St
Lebanon, TN 37087
Phone (615) 444-2245

1002 W Main St
Ste B
Lebanon, TN 37087
Phone (615) 444-2245

Practitioners & affiliated clinicians

Practitioners 2

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": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1922853753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874637",
            "telephone_number": "615-444-2245",
            "fax_number": "615-444-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874637",
            "telephone_number": "615-444-2245",
            "fax_number": "615-444-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "615-444-2245",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.