NPIMap

Organization Active NPI

PBH Professional Group, P.a.

Doing business as PATH Nashville Professional Group

  • Addiction Medicine (Preventive Medicine) Physician
  • Nashville, TN
National Provider Identifier
1982273637
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
PBH PROFESSIONAL GROUP, P.A.
Doing business as
PATH Nashville Professional Group
Practice address
2603 Westwood Dr Ste 100
Nashville, TN 37204-2709
Phone
(629) 899-6072
NPI assigned
Jun 17, 2021
Last updated
Jun 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Flora F. Sadri-Azarbayejani, D.O.
Title
President, Secretary, Director
Phone
(413) 498-5563

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Addiction Medicine (Preventive Medicine) Physician 2083A0300X NU Primary

Addresses

Primary practice location

2603 Westwood Dr Ste 100
Nashville, TN 37204-2709

Mailing address

103 Powell CT Ste 100
Brentwood, TN 37027-5050
Phone (615) 567-7253

Other names 1

  • PATH Nashville Professional Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Path 5Palms Professional Group5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2603 Westwood Dr
Ste 100
Nashville, TN 37204
Phone (629) 899-6072

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1982273637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 POWELL CT STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275050",
            "telephone_number": "615-567-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 WESTWOOD DR STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042709",
            "telephone_number": "629-899-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBH PROFESSIONAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "SADRI-AZARBAYEJANI",
        "authorized_official_first_name": "FLORA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT, SECRETARY, DIRECTOR",
        "authorized_official_telephone_number": "413-498-5563",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATH Nashville Professional Group",
            "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 Jun 17, 2021; 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.