| Cumberland Pediatric Associates | |
|
1029 W Main St Suite M Lebanon TN 37087-3351 | |
| (615) 453-1252 | |
| (615) 453-1286 |
| Full Name | Cumberland Pediatric Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 1029 W Main St, Lebanon, Tennessee |
| Authorized Official Name and Position | Charles Andrew Jordan (PHYSICIAN) |
| Authorized Official Contact | 6154531252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland Pediatric Associates 1029 W Main St Suite M Lebanon TN 37087-3351 Ph: (615) 453-1252 | Cumberland Pediatric Associates 1029 W Main St Suite M Lebanon TN 37087-3351 Ph: (615) 453-1252 |
| NPI Number | 1104964576 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 06/29/2022 |
| Medicare PECOS PAC ID | 6305247446 |
|---|---|
| Medicare Enrollment ID | O20210628001819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104964576 | NPI | - | NPPES |
| 3713897 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Employment & Assessment Solutions, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1037 W Main St, Suite A, Lebanon, TN 37087 Phone: 615-453-3567 Fax: 615-453-4031 | |
Middle Tennessee And Adolescent Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Physicians Way, Suite 200, Lebanon, TN 37090 Phone: 615-449-5611 Fax: 615-443-0571 | |
Badru, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 521 W Main St, Lebanon, TN 37087 Phone: 615-547-6200 Fax: 615-547-6202 | |
Concord Infectious Disease Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1419 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-420-5390 Fax: 615-549-1532 | |
Lebanon Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-443-2500 | |
Robert J Jantz Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 Cadet Ct, Lebanon, TN 37087 Phone: 615-449-2472 Fax: 615-449-4709 |