NPIMap

Organization Active NPI

Amed Medical Group PLLC

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1952956500
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMED MEDICAL GROUP PLLC
Practice address
4536 Nolensville Pike Ste F
Nashville, TN 37211-4786
Phone
(615) 454-6986
NPI assigned
Aug 9, 2019
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Dilmon Abdullah, FNPNPI 1467876821
Title
Provider/Secretary/Organizer
Phone
(615) 454-6986

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

4536 Nolensville Pike Ste F
Nashville, TN 37211-4786

Mailing address

4536 Nolensville Pike Ste F
Nashville, TN 37211-4786
Phone (615) 454-6986

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191009003270 TN Part B Supplier - Clinic/Group Practice 2365773116 Receives reassigned benefits from 8 practitioners
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

4536 Nolensville Rd
Ste F
Nashville, TN 37211
Phone (615) 275-7250

Practitioners & affiliated clinicians

Practitioners 8

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": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1952956500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 NOLENSVILLE PIKE STE F",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114786",
            "telephone_number": "615-454-6986",
            "fax_number": "877-596-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 NOLENSVILLE PIKE STE F",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114786",
            "telephone_number": "615-454-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMED MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "DILMON",
        "authorized_official_title_or_position": "PROVIDER/SECRETARY/ORGANIZER",
        "authorized_official_telephone_number": "615-454-6986",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 8, 2021; 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.