| Centennial Heart Llc | |
|
2400 Patterson St Suite 502 Nashville TN 37203-1562 | |
| (615) 515-1900 | |
| (615) 515-1993 |
| Full Name | Centennial Heart Llc |
|---|---|
| Speciality | Specialist |
| Location | 2400 Patterson St, Nashville, Tennessee |
| Authorized Official Name and Position | Louis Joseph (VICE PRESIDENT) |
| Authorized Official Contact | 6153737600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Heart Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 372-5426 | Centennial Heart Llc 2400 Patterson St Suite 502 Nashville TN 37203-1562 Ph: (615) 515-1900 |
| NPI Number | 1245393057 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 07/18/2024 |
| Medicare PECOS PAC ID | 9931204237 |
|---|---|
| Medicare Enrollment ID | O20070416000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245393057 | NPI | - | NPPES |
| 3736113 | Medicaid | TN | |
| DF6153 | Other | TN | RR MEDICARE |
| Provider Name | Nelson J Mangione |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164504544 PECOS PAC ID: 2567361876 Enrollment ID: I20040226000085 |
| Provider Name | Christopher N Conley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427079946 PECOS PAC ID: 0749264703 Enrollment ID: I20040616001044 |
| Provider Name | Byron Haitas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275646119 PECOS PAC ID: 6103803440 Enrollment ID: I20040727001458 |
| Provider Name | Sunil C Kaza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053337717 PECOS PAC ID: 5496713851 Enrollment ID: I20041230000772 |
| Provider Name | Robert M Wheatley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558461970 PECOS PAC ID: 2062464712 Enrollment ID: I20050210000852 |
| Provider Name | Robert C Jones |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144309121 PECOS PAC ID: 5193753309 Enrollment ID: I20050729000195 |
| Provider Name | Muhammad Asad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275536468 PECOS PAC ID: 3476514639 Enrollment ID: I20061012000053 |
| Provider Name | Thomas S Johnston |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023103462 PECOS PAC ID: 3476653114 Enrollment ID: I20070711000339 |
| Provider Name | Paul R Myers |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245325661 PECOS PAC ID: 6800996547 Enrollment ID: I20070711000360 |
| Provider Name | Andrew T Mcrae |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053406405 PECOS PAC ID: 6507752631 Enrollment ID: I20070711000389 |
| Provider Name | Brian K Jefferson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508830407 PECOS PAC ID: 4981645546 Enrollment ID: I20070802000634 |
| Provider Name | Vafa C Mansouri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659342384 PECOS PAC ID: 2567482847 Enrollment ID: I20070803000588 |
| Provider Name | Wendy M Vick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093884371 PECOS PAC ID: 0244321024 Enrollment ID: I20070808000479 |
| Provider Name | Gina G Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346333028 PECOS PAC ID: 2961595178 Enrollment ID: I20070904000733 |
| Provider Name | Michael C Allan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124035571 PECOS PAC ID: 4688766041 Enrollment ID: I20071119000691 |
| Provider Name | John H Cleator |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649327446 PECOS PAC ID: 7315037710 Enrollment ID: I20071224000008 |
| Provider Name | John Riddick |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417131715 PECOS PAC ID: 8729159009 Enrollment ID: I20080613000036 |
| Provider Name | David C Huneycutt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902823859 PECOS PAC ID: 6507937208 Enrollment ID: I20080624000711 |
| Provider Name | Fathi I Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811905409 PECOS PAC ID: 5890794739 Enrollment ID: I20081119000820 |
| Provider Name | Gregory G Bashian |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487854311 PECOS PAC ID: 3577657139 Enrollment ID: I20090610000651 |
| Provider Name | Terry R Ketch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972658060 PECOS PAC ID: 6608976154 Enrollment ID: I20090711000032 |
| Provider Name | Japeth Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144556341 PECOS PAC ID: 9436342250 Enrollment ID: I20101025000469 |
| Provider Name | Meghann D Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427293158 PECOS PAC ID: 3971787029 Enrollment ID: I20110414000010 |
| Provider Name | Emily B Pagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275836983 PECOS PAC ID: 4981875507 Enrollment ID: I20110912000372 |
| Provider Name | Margaret A Forni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194932541 PECOS PAC ID: 2567636905 Enrollment ID: I20111121000234 |
| Provider Name | Dalton E Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548537533 PECOS PAC ID: 8022278266 Enrollment ID: I20120327000332 |
| Provider Name | Joseph Raymond Zenisek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255574018 PECOS PAC ID: 9335395656 Enrollment ID: I20120801000875 |
| Provider Name | Katie Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063602845 PECOS PAC ID: 7315194305 Enrollment ID: I20120830000012 |
| Provider Name | Mallory W Eaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952650954 PECOS PAC ID: 4981853298 Enrollment ID: I20121002000358 |
| Provider Name | Lora E Hailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952651655 PECOS PAC ID: 5799937074 Enrollment ID: I20121213000134 |
| Provider Name | Colette B Wolford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467799064 PECOS PAC ID: 2860646254 Enrollment ID: I20130212000541 |
| Provider Name | Przemyslaw Peter Borek |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265606255 PECOS PAC ID: 6305970468 Enrollment ID: I20130417000016 |
| Provider Name | Sarah A Gast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457635310 PECOS PAC ID: 2365618444 Enrollment ID: I20140225000554 |
| Provider Name | Laura C Wasielewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083037279 PECOS PAC ID: 3870725716 Enrollment ID: I20140408001940 |
| Provider Name | Evan T Russell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609039973 PECOS PAC ID: 7012194632 Enrollment ID: I20141009002653 |
| Provider Name | Leah Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104191055 PECOS PAC ID: 6800018920 Enrollment ID: I20141105000980 |
| Provider Name | Leigh Caroline Eberle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225447238 PECOS PAC ID: 6103048079 Enrollment ID: I20141107001850 |
| Provider Name | Courtney J Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518270222 PECOS PAC ID: 2264620665 Enrollment ID: I20141110002371 |
| Provider Name | Carl Bruce Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093116774 PECOS PAC ID: 1850513656 Enrollment ID: I20141111001762 |
| Provider Name | Stefanie Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932599271 PECOS PAC ID: 9931427440 Enrollment ID: I20150414000383 |
| Provider Name | Jeffrey C Webber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235242181 PECOS PAC ID: 6305816174 Enrollment ID: I20150806009880 |
| Provider Name | Parag R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114101128 PECOS PAC ID: 7810125309 Enrollment ID: I20150810002136 |
| Provider Name | Alison L Bailey |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1992715502 PECOS PAC ID: 8224009857 Enrollment ID: I20151029001797 |
| Provider Name | Kimberly Rae Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083086433 PECOS PAC ID: 4688975287 Enrollment ID: I20151228001258 |
| Provider Name | Steven Anliker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558607580 PECOS PAC ID: 2668609710 Enrollment ID: I20160127001104 |
| Provider Name | Jonathan A Hoda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053519785 PECOS PAC ID: 8022205897 Enrollment ID: I20160330002075 |
| Provider Name | Bryan F Doherty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811200033 PECOS PAC ID: 1850684762 Enrollment ID: I20160728002343 |
| Provider Name | Andrew Louden Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275793283 PECOS PAC ID: 9032437868 Enrollment ID: I20160810001570 |
| Provider Name | Matthew E Wiisanen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215945001 PECOS PAC ID: 8729083936 Enrollment ID: I20160831002236 |
| Provider Name | Michael B Mikolaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760616601 PECOS PAC ID: 7517267727 Enrollment ID: I20161010001335 |
| Provider Name | Katie Rachel Ciarletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801257753 PECOS PAC ID: 7416235684 Enrollment ID: I20161024001703 |
| Provider Name | Angela Joann Cavanaugh Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487104238 PECOS PAC ID: 3072891027 Enrollment ID: I20161026002704 |
| Provider Name | Jennifer M Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780855395 PECOS PAC ID: 2769384775 Enrollment ID: I20161027001438 |
| Provider Name | Galileo A Macinnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912456914 PECOS PAC ID: 2264719749 Enrollment ID: I20170510002399 |
| Provider Name | Sirena R Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366744419 PECOS PAC ID: 7315129095 Enrollment ID: I20170803002969 |
| Provider Name | Katie Griswold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548680234 PECOS PAC ID: 2860765419 Enrollment ID: I20170905000418 |
| Provider Name | Jeanne C Enstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780109967 PECOS PAC ID: 2769758945 Enrollment ID: I20171017001340 |
| Provider Name | Stuart D Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194240663 PECOS PAC ID: 5395004907 Enrollment ID: I20180104001787 |
| Provider Name | Justin L Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104364496 PECOS PAC ID: 9638424633 Enrollment ID: I20180614002909 |
| Provider Name | Laura Beth Henninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801346911 PECOS PAC ID: 0446507859 Enrollment ID: I20180717001025 |
| Provider Name | Mary K Coletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730632480 PECOS PAC ID: 1658628623 Enrollment ID: I20180721000061 |
| Provider Name | Kristen Cullen Martindale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386199024 PECOS PAC ID: 3870841901 Enrollment ID: I20180807001646 |
| Provider Name | Jennifer R Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689067258 PECOS PAC ID: 3375892912 Enrollment ID: I20180815002411 |
| Provider Name | Jessalyn T Trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326547316 PECOS PAC ID: 2163771064 Enrollment ID: I20180827002185 |
| Provider Name | Jaime Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639619299 PECOS PAC ID: 8224380258 Enrollment ID: I20181002003391 |
| Provider Name | Samuel Horr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417273061 PECOS PAC ID: 0143512681 Enrollment ID: I20181004002456 |
| Provider Name | Jacob Weston Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881108108 PECOS PAC ID: 4981956216 Enrollment ID: I20181015000814 |
| Provider Name | Mara Hutchings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841777927 PECOS PAC ID: 4183977903 Enrollment ID: I20181024003300 |
| Provider Name | Jamie L Deneau |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1992936777 PECOS PAC ID: 6406901016 Enrollment ID: I20181112001449 |
| Provider Name | Sandeep Duggal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083818967 PECOS PAC ID: 8426158056 Enrollment ID: I20190319000092 |
| Provider Name | Laura Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588128946 PECOS PAC ID: 0648511139 Enrollment ID: I20190410001569 |
| Provider Name | Ashley Elizabeth Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336677830 PECOS PAC ID: 7214261239 Enrollment ID: I20190625003721 |
| Provider Name | James Gentry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912297144 PECOS PAC ID: 2961705009 Enrollment ID: I20190724000438 |
| Provider Name | Kristen Elizabeth Kerr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770928129 PECOS PAC ID: 9739329491 Enrollment ID: I20190906003332 |
| Provider Name | Cara Carter Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750562831 PECOS PAC ID: 6002987724 Enrollment ID: I20200108001145 |
| Provider Name | Grace Little Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508328238 PECOS PAC ID: 0446686513 Enrollment ID: I20200208000237 |
| Provider Name | Heather Ludwig Beakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548753304 PECOS PAC ID: 3870848625 Enrollment ID: I20200217000704 |
| Provider Name | Leah Anne Partlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508409236 PECOS PAC ID: 4486085123 Enrollment ID: I20200512002950 |
| Provider Name | Megan Ann Weiss-campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477196939 PECOS PAC ID: 6901227644 Enrollment ID: I20200604000483 |
| Provider Name | Ashley Marie Bock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538402540 PECOS PAC ID: 4486078920 Enrollment ID: I20200716003639 |
| Provider Name | Kyle Mandsager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629336185 PECOS PAC ID: 3274957485 Enrollment ID: I20200721003236 |
| Provider Name | Ann Gage |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124319595 PECOS PAC ID: 9739436098 Enrollment ID: I20200721004314 |
| Provider Name | Landon Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164021556 PECOS PAC ID: 8123438835 Enrollment ID: I20201109002701 |
| Provider Name | Emily Jeannine Longbrake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477140002 PECOS PAC ID: 6901211838 Enrollment ID: I20210226000506 |
| Provider Name | Lydia Poe Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265019988 PECOS PAC ID: 9931516291 Enrollment ID: I20210402000101 |
| Provider Name | Leeann Katherine Dennery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578167441 PECOS PAC ID: 9032512553 Enrollment ID: I20210721002829 |
| Provider Name | Christine Mary Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376111542 PECOS PAC ID: 4385049832 Enrollment ID: I20210820001364 |
| Provider Name | Hannah M Bosgraaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801569454 PECOS PAC ID: 1052717352 Enrollment ID: I20210913001524 |
| Provider Name | Elizabeth Mackenzie Baumeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508322751 PECOS PAC ID: 9739501404 Enrollment ID: I20210927001391 |
| Provider Name | Kazeen Nuri Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790084929 PECOS PAC ID: 6002169125 Enrollment ID: I20211005000313 |
| Provider Name | Zachary Nosbisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487324109 PECOS PAC ID: 6103214713 Enrollment ID: I20211102000454 |
| Provider Name | Sarah Trombley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679156749 PECOS PAC ID: 0749678159 Enrollment ID: I20211103002123 |
| Provider Name | Meredith Heiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861157158 PECOS PAC ID: 3274923164 Enrollment ID: I20211208002347 |
| Provider Name | Branden S Bruzzese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669144770 PECOS PAC ID: 2668864257 Enrollment ID: I20220111000947 |
| Provider Name | Amelia Rose Valentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699432229 PECOS PAC ID: 3274925136 Enrollment ID: I20220126002554 |
| Provider Name | Taylor Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841948742 PECOS PAC ID: 8820484413 Enrollment ID: I20220407001260 |
| Provider Name | Dana Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780337162 PECOS PAC ID: 8921493222 Enrollment ID: I20220504000914 |
| Provider Name | Emily Kastner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629563200 PECOS PAC ID: 2860744083 Enrollment ID: I20220627000121 |
| Provider Name | Alexandria Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881335883 PECOS PAC ID: 0749669364 Enrollment ID: I20220628000757 |
| Provider Name | David Wendt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285633545 PECOS PAC ID: 8628036852 Enrollment ID: I20220914001583 |
| Provider Name | Michael Biersmith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053725911 PECOS PAC ID: 4082832910 Enrollment ID: I20221005001994 |
| Provider Name | Rachel Hosey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346999307 PECOS PAC ID: 0941686562 Enrollment ID: I20221005003130 |
| Provider Name | Martyna Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184132326 PECOS PAC ID: 4880061753 Enrollment ID: I20221105000094 |
| Provider Name | Mary Catherine Heflin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174123970 PECOS PAC ID: 2466820964 Enrollment ID: I20221114002916 |
| Provider Name | Hammad Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154505253 PECOS PAC ID: 4587736616 Enrollment ID: I20230115000032 |
| Provider Name | Brianna Lauren Matheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194488221 PECOS PAC ID: 9931599941 Enrollment ID: I20230119001594 |
| Provider Name | Jessica Keyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295442929 PECOS PAC ID: 9436524956 Enrollment ID: I20230413001966 |
| Provider Name | Stacy Ann Forst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093037640 PECOS PAC ID: 9032349691 Enrollment ID: I20230428000317 |
| Provider Name | Melanie Baum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366049264 PECOS PAC ID: 5395151468 Enrollment ID: I20230816001682 |
| Provider Name | Zachary Joseph Il'giovine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427444272 PECOS PAC ID: 3779945167 Enrollment ID: I20230816004245 |
| Provider Name | Nicholas Dakota Carswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134808678 PECOS PAC ID: 2567825193 Enrollment ID: I20230830002637 |
| Provider Name | Lane Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316359508 PECOS PAC ID: 7517224736 Enrollment ID: I20240110002627 |
| Provider Name | Courtney Everetts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407573009 PECOS PAC ID: 3577916113 Enrollment ID: I20240130002694 |
| Provider Name | Valerie K Defoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356122394 PECOS PAC ID: 8729422589 Enrollment ID: I20240220002544 |
| Provider Name | Taylor Leann Spurling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861162737 PECOS PAC ID: 1052756400 Enrollment ID: I20240226002153 |
| Provider Name | Kristen Marie Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972367977 PECOS PAC ID: 7911343009 Enrollment ID: I20240312000867 |
| Provider Name | Jordan Morgan Forsythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205441821 PECOS PAC ID: 0648680405 Enrollment ID: I20240321000296 |
| Provider Name | Mary Maull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588429500 PECOS PAC ID: 7214377340 Enrollment ID: I20240506003939 |
| Provider Name | Tatiane Almeida De Couto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619584778 PECOS PAC ID: 6204278914 Enrollment ID: I20240528000671 |
| Provider Name | Jeremy Alan Brooksbank |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1174055685 PECOS PAC ID: 7012348550 Enrollment ID: I20240807002061 |
| Provider Name | Hope Gavigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710713664 PECOS PAC ID: 4688108376 Enrollment ID: I20241118002690 |
| Provider Name | Jordan Renee Elsa Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750104782 PECOS PAC ID: 2365972031 Enrollment ID: I20250211000365 |
Tennessee Vitality Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 White Bridge Pike, Nashville, TN 37205 Phone: 615-953-7406 | |
Mid Tn Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3413 Nolensville Pike, Nashville, TN 37211 Phone: 615-569-4067 | |
Tarria O. Mcneal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 12th Ave S, Suite 5, Nashville, TN 37203 Phone: 615-291-6700 | |
H. Douglas Holliday Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4230 Harding Rd, Ste. 530 Heart Institute, Nashville, TN 37205 Phone: 615-297-6006 Fax: 615-298-6778 | |
United Neighborhood Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 12th Ave S, Nashville, TN 37203 Phone: 615-269-3461 Fax: 615-383-1950 | |
Ehg Gi Md, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1a Burton Hills Blvd, Nashville, TN 37215 Phone: 615-263-5579 Fax: 615-565-9543 | |
H Douglas Holliday Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Glen Echo Rd, Nashville, TN 37215 Phone: 615-727-8796 Fax: 615-727-8798 |