| Camelot Care Centers, Llc | |
|
446 James Robertson Pkwy Ste 201 Nashville TN 37219-1533 | |
| (615) 370-4228 | |
| (615) 370-4959 |
| Full Name | Camelot Care Centers, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 446 James Robertson Pkwy Ste 201, Nashville, Tennessee |
| Authorized Official Name and Position | Jennifer Spann (DIRECTOR OF ACCOUNTS) |
| Authorized Official Contact | 1615533580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camelot Care Centers, Llc 814 Church St Suite 400 Nashville TN 37203-3509 Ph: (615) 370-4228 | Camelot Care Centers, Llc 446 James Robertson Pkwy Ste 201 Nashville TN 37219-1533 Ph: (615) 370-4228 |
| NPI Number | 1831397645 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 8325495211 |
|---|---|
| Medicare Enrollment ID | O20231115000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831397645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Samantha Joline Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023673407 PECOS PAC ID: 0547690711 Enrollment ID: I20240311002686 |
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