Active NPI
Middle Tennessee Treatment Centers, LLC
- Methadone Clinic
- South Nashville, TN
National Provider Identifier
1972198380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- MIDDLE TENNESSEE TREATMENT CENTERS, LLC
- Practice address
- 1420 Donelson Pike
Ste B19
South Nashville, TN 37217-2927 - Phone
- (855) 259-2288
- NPI assigned
- Mar 8, 2021
- Organization subpart
- Yes
- Parent organization
- ACADIA HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Phillip Farley
- Title
- VP & Secretary
- Phone
- (615) 861-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
1420 Donelson Pike
Ste B19
South Nashville, TN 37217-2927
Mailing address
6183 Paseo del Norte
Suite 200
Carlsbad, CA 92011-1155
Phone (855) 259-2288
Other names 1
- South Nashville Comprehensive Treatment Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Opioid treatment program
- Medicare-enrolled since Feb 15, 2022
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220426001820 | TN | Part B Supplier - Opioid Treatment Program (Otp) | 4688061492 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cleveland, TN; Nashville, TN |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Methadone Clinic
- Cleveland, TN
- NPI 1366041196
O20220426001820
-
- Methadone Clinic
- Nashville, TN
- NPI 1740889575
O20220426001820
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2212988 | Middle Tennessee Treatment Centers, LLC | Certificate of waiver | Feb 8, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Esolutions Inc
- Part of
- Haven Behavioral Healthcare
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Methadone Clinic
- Cleveland, TN
- NPI 1366041196
-
- Methadone Clinic
- Nashville, TN
- NPI 1740889575
Locations
1420 Donelson Pike
Ste B19
Nashville, TN 37217
Phone (615) 912-2477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1972198380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6183 PASEO DEL NORTE",
"address_2": "SUITE 200",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920111155",
"telephone_number": "855-259-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 DONELSON PIKE",
"address_2": "STE B19",
"city": "SOUTH NASHVILLE",
"state": "TN",
"postal_code": "372172927",
"telephone_number": "855-259-2288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLE TENNESSEE TREATMENT CENTERS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACADIA HEALTHCARE",
"enumeration_date": "2021-03-08",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "VP & SECRETARY",
"authorized_official_telephone_number": "615-861-6000"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "South Nashville Comprehensive Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.