Mat Centers of Tennessee LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

MAT CENTERS OF TENNESSEE LLC

Doing business as

RUTH'S ROAD

Practice address

1950 N Jackson St
Tullahoma, TN 37388-2204

Phone

(931) 557-3025

Fax

(931) 557-3025

NPI assigned

May 2, 2021

Organization subpart

No

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

Authorized official

Name

Ruth Marcia Rothman, RPH

Title

Coo

Phone

(615) 715-8769

Specialties & licenses 1

Addresses

Other names 1

• RUTH'S ROAD Doing business as

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619913600000",
    "number": "1992388524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9206 CONCORD RD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277407",
            "telephone_number": "931-801-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882204",
            "telephone_number": "931-557-3025",
            "fax_number": "931-557-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAT CENTERS OF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "MARCIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-715-8769",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUTH'S ROAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita Martin, MSP CCCSLP
• Lauren E Martin, PA-C
• Marvel Clinic P.C.
• Jeffrey Blaine Marvel, M.D.
• Patty M Marvel, M.D.
• Catherine Renee Materi, MA LSPE
• Michele Mathes, LPC-MHSP
• David C Mathis, EDD
• Stephanie Matthews
• Maxmed Care Services

• Addiction Medicine (Family Medicine) Physician in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Addiction Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.