Organization Active NPI

Dr. JC Anderson, LLC

  • Pediatrics Physician
  • Franklin, TN
National Provider Identifier
1972878353
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24705 Issued in TN
Legal business name
DR. JC ANDERSON, LLC
Practice address
2014 Quail Hollow Cir
Franklin, TN 37067-5967
Phone
(615) 628-5700
Fax
(615) 628-5717
NPI assigned
Mar 19, 2012
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
James C. Anderson, MD
Title
Provider
Phone
(615) 498-0605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24705 TN Primary

Addresses

Primary practice location

2014 Quail Hollow Cir
Franklin, TN 37067-5967

Mailing address

6841 Fuller Rd
College Grove, TN 37046-9239
Phone (615) 498-0605

Other identifiers 1

IdentifierTypeStateIssuer
1526935MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1972878353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 FULLER RD",
            "city": "COLLEGE GROVE",
            "state": "TN",
            "postal_code": "370469239",
            "telephone_number": "615-498-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 QUAIL HOLLOW CIR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675967",
            "telephone_number": "615-628-5700",
            "fax_number": "615-628-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JC ANDERSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "615-498-0605",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "24705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526935",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.