| Cedar Recovery Center Of Middle Tennessee, Llc | |
|
1512 Hatcher Ln Columbia TN 38401-4825 | |
| (931) 948-8882 | |
| (931) 223-8717 |
| Full Name | Cedar Recovery Center Of Middle Tennessee, Llc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 1512 Hatcher Ln, Columbia, Tennessee |
| Authorized Official Name and Position | Joseph Bond (OWNER) |
| Authorized Official Contact | 6156800110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Recovery Center Of Middle Tennessee, Llc 5000 Crossings Cir Ste 103 Mount Juliet TN 37122-8591 Ph: (615) 288-1103 | Cedar Recovery Center Of Middle Tennessee, Llc 1512 Hatcher Ln Columbia TN 38401-4825 Ph: (931) 948-8882 |
| NPI Number | 1801345285 |
|---|---|
| Provider Enumeration Date | 09/27/2016 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 0446671440 |
|---|---|
| Medicare Enrollment ID | O20200529001321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801345285 | NPI | - | NPPES |
| Q024355 | Medicaid | TN |
| Provider Name | Joseph C Opie |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497704993 PECOS PAC ID: 5991606014 Enrollment ID: I20040120000675 |
| Provider Name | Daniel D Sumrok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669461679 PECOS PAC ID: 1254315500 Enrollment ID: I20040615001154 |
| Provider Name | Tara N Hamada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003883588 PECOS PAC ID: 6406820299 Enrollment ID: I20040826000183 |
| Provider Name | Stephen Douglas Loyd |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1366437253 PECOS PAC ID: 5991772774 Enrollment ID: I20040911000294 |
| Provider Name | James A Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184602898 PECOS PAC ID: 0547230096 Enrollment ID: I20040914000203 |
| Provider Name | John B Woods |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861452849 PECOS PAC ID: 9739186347 Enrollment ID: I20061024000391 |
| Provider Name | Kimberly K Nesbitt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336285246 PECOS PAC ID: 0143329185 Enrollment ID: I20070615000558 |
| Provider Name | Phylliss Lanora Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063666261 PECOS PAC ID: 0244380285 Enrollment ID: I20090611000778 |
| Provider Name | Karen S Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457408346 PECOS PAC ID: 4486705043 Enrollment ID: I20090623000106 |
| Provider Name | Jerry Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740385483 PECOS PAC ID: 1557447695 Enrollment ID: I20100909000525 |
| Provider Name | Mary J Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114953080 PECOS PAC ID: 1850417064 Enrollment ID: I20100924000967 |
| Provider Name | Gary W Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952604704 PECOS PAC ID: 9830388156 Enrollment ID: I20110118000648 |
| Provider Name | Maitricia Ferrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417264870 PECOS PAC ID: 3274715693 Enrollment ID: I20110307000605 |
| Provider Name | Dederick A Yeargin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952669202 PECOS PAC ID: 8820248750 Enrollment ID: I20121030000210 |
| Provider Name | Anuj Aryal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992903504 PECOS PAC ID: 9234309758 Enrollment ID: I20130716000225 |
| Provider Name | Roger P Sherman |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1588648638 PECOS PAC ID: 3173615747 Enrollment ID: I20131021000218 |
| Provider Name | Nancy K Coates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982009056 PECOS PAC ID: 5799009692 Enrollment ID: I20150126000769 |
| Provider Name | Sara M Connaughton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124361647 PECOS PAC ID: 1153564448 Enrollment ID: I20150420000733 |
| Provider Name | Jessica D Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912312976 PECOS PAC ID: 6800196478 Enrollment ID: I20151203002372 |
| Provider Name | Jeremy V Pinyard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689933301 PECOS PAC ID: 8628227071 Enrollment ID: I20160108002270 |
| Provider Name | Amie Phipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700251600 PECOS PAC ID: 6305142860 Enrollment ID: I20160309000805 |
| Provider Name | Janelle S Chaigne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245760347 PECOS PAC ID: 5395010250 Enrollment ID: I20171004000130 |
| Provider Name | Rebecca Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548656861 PECOS PAC ID: 3173898699 Enrollment ID: I20171010002419 |
| Provider Name | Alicia Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699223487 PECOS PAC ID: 8022397439 Enrollment ID: I20181015001526 |
| Provider Name | Karen Louise Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194247999 PECOS PAC ID: 0648523563 Enrollment ID: I20181023002175 |
| Provider Name | Billy C Jones |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1205830015 PECOS PAC ID: 3678636024 Enrollment ID: I20200109002285 |
| Provider Name | Varenda C Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760815484 PECOS PAC ID: 9436382736 Enrollment ID: I20200128002140 |
| Provider Name | Susan Limbaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396730891 PECOS PAC ID: 5193824068 Enrollment ID: I20200530000133 |
| Provider Name | Puja T Pape |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982054532 PECOS PAC ID: 2264762194 Enrollment ID: I20200729000990 |
| Provider Name | James T Harrison |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1740325992 PECOS PAC ID: 2567889215 Enrollment ID: I20200826003952 |
| Provider Name | Sonya Lavet Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205434503 PECOS PAC ID: 2264842574 Enrollment ID: I20201027002386 |
| Provider Name | Angela Renee Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225648009 PECOS PAC ID: 3678985637 Enrollment ID: I20201215003220 |
| Provider Name | Sara Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982013850 PECOS PAC ID: 9032523790 Enrollment ID: I20210121000553 |
| Provider Name | Joshua Andrew Wienczkowski |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1730614272 PECOS PAC ID: 8527467638 Enrollment ID: I20210521001795 |
| Provider Name | Rachel Katherine Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396314076 PECOS PAC ID: 6507260098 Enrollment ID: I20210805001030 |
| Provider Name | Leslie Milton Dally |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1306093877 PECOS PAC ID: 0244399160 Enrollment ID: I20210809000372 |
| Provider Name | Taylor Bush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700377348 PECOS PAC ID: 0749685980 Enrollment ID: I20210825003628 |
| Provider Name | Mary Haycraft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588110787 PECOS PAC ID: 7012316052 Enrollment ID: I20210907003656 |
| Provider Name | Michelle Lynn Holtgraewe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679152060 PECOS PAC ID: 6800294323 Enrollment ID: I20211013000971 |
| Provider Name | Indienne Rae Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023778396 PECOS PAC ID: 5395136097 Enrollment ID: I20220106000369 |
| Provider Name | Mary Beth Bever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689222523 PECOS PAC ID: 6608261565 Enrollment ID: I20220311002102 |
| Provider Name | Harrison M Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700376407 PECOS PAC ID: 4082964895 Enrollment ID: I20220512000777 |
| Provider Name | Tina M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881142784 PECOS PAC ID: 9234517145 Enrollment ID: I20220606001768 |
| Provider Name | Stuart Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215457445 PECOS PAC ID: 8729482260 Enrollment ID: I20221108001465 |
| Provider Name | Wilder Shaw Rucker |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1235403742 PECOS PAC ID: 9638314289 Enrollment ID: I20221207002137 |
| Provider Name | Alyssa Barnes Brandon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508505314 PECOS PAC ID: 8426427667 Enrollment ID: I20221212000550 |
| Provider Name | April Michelle Snell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457401465 PECOS PAC ID: 2062878929 Enrollment ID: I20230518001565 |
| Provider Name | Brooke Labarbera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043582786 PECOS PAC ID: 1658730031 Enrollment ID: I20230703001079 |
| Provider Name | Andrea Suzanne Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659864650 PECOS PAC ID: 2769836972 Enrollment ID: I20230921002614 |
| Provider Name | Rebecca E Carden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245845544 PECOS PAC ID: 1658728217 Enrollment ID: I20231103002557 |
| Provider Name | Kimberly Dobbyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326635392 PECOS PAC ID: 4385052554 Enrollment ID: I20231106002250 |
| Provider Name | Sondra Holder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265925531 PECOS PAC ID: 2264889534 Enrollment ID: I20231108000359 |
| Provider Name | Shannon Rebecca Locke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093370082 PECOS PAC ID: 6406206374 Enrollment ID: I20231219002680 |
| Provider Name | Darlene Santamour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245656511 PECOS PAC ID: 1951524214 Enrollment ID: I20240105002752 |
| Provider Name | Derrell Thomas Seigler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467222315 PECOS PAC ID: 4688027121 Enrollment ID: I20240131002519 |
| Provider Name | Jordan Ashley Shiflett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326545864 PECOS PAC ID: 8729520721 Enrollment ID: I20240605003198 |
| Provider Name | Stephanie Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013434794 PECOS PAC ID: 7911449343 Enrollment ID: I20240612003522 |
| Provider Name | Matthew Gabriel Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932780673 PECOS PAC ID: 5193134484 Enrollment ID: I20240911003373 |
| Provider Name | Justin Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417768169 PECOS PAC ID: 2264954676 Enrollment ID: I20250314001472 |
Centerstone Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1222 Medical Center Dr, Columbia, TN 38401 Phone: 931-490-1500 | |
Family Therapy Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 854 W James Campbell Blvd, Columbia, TN 38401 Phone: 931-490-0999 Fax: 931-490-0555 | |
Wild Ethos Family Counseling Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3148 Carrington Ln, Columbia, TN 38401 Phone: 931-539-0373 | |
Brave Robins Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 N High St, Columbia, TN 38401 Phone: 931-774-0048 | |
Virginia M. Andrews Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 Trotwood Ave Ste 6, Columbia, TN 38401 Phone: 931-223-5711 | |
Alicia A Victory, Psyd, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 Walnut Ln, Columbia, TN 38401 Phone: 615-625-2117 Fax: 865-246-2104 | |
Middle Tennessee Psychological Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 854 W. James Campbell Blvd, Ste 304, Columbia, TN 38401 Phone: 931-548-2023 |