| Vanderbilt Integrated Providers, Llc | |
|
1161 21st Ave S Nashville TN 37232-9339 | |
| (615) 322-5000 | |
| Not Available |
| Full Name | Vanderbilt Integrated Providers, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1161 21st Ave S, Nashville, Tennessee |
| Authorized Official Name and Position | Wendy Monaci (VICE PRESIDENT) |
| Authorized Official Contact | 6159363944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanderbilt Integrated Providers, Llc 3841 Green Hills Village Dr Ste 200 Nashville TN 37215-2691 Ph: () - | Vanderbilt Integrated Providers, Llc 1161 21st Ave S Nashville TN 37232-9339 Ph: (615) 322-5000 |
| NPI Number | 1982625091 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 03/31/2022 |
| Medicare PECOS PAC ID | 7012817919 |
|---|---|
| Medicare Enrollment ID | O20040108001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982625091 | NPI | - | NPPES |
| 65932329 | Medicaid | KY |
| Provider Name | Salvatore Lombardi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639129786 PECOS PAC ID: 1759295256 Enrollment ID: I20031118000921 |
| Provider Name | Christopher C Rone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376516385 PECOS PAC ID: 7810895729 Enrollment ID: I20031230000021 |
| Provider Name | Clay B Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659469930 PECOS PAC ID: 1052382736 Enrollment ID: I20040805000033 |
| Provider Name | Rimda N Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679566772 PECOS PAC ID: 4385543990 Enrollment ID: I20040928001333 |
| Provider Name | Lisa D Milam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174526065 PECOS PAC ID: 9638134703 Enrollment ID: I20041130001041 |
| Provider Name | William Leon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841424462 PECOS PAC ID: 2567410814 Enrollment ID: I20050104000569 |
| Provider Name | Ted L Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326130741 PECOS PAC ID: 1456391929 Enrollment ID: I20050504001048 |
| Provider Name | Stephen H Bills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780797464 PECOS PAC ID: 2062443245 Enrollment ID: I20050826000892 |
| Provider Name | Stephan E Russ |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437102852 PECOS PAC ID: 2961428594 Enrollment ID: I20051021000716 |
| Provider Name | Saralyn R Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073600102 PECOS PAC ID: 8224050257 Enrollment ID: I20051219000850 |
| Provider Name | Navid Monajjem |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316946122 PECOS PAC ID: 8820080815 Enrollment ID: I20060621000295 |
| Provider Name | Margaret W Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679561054 PECOS PAC ID: 6901999762 Enrollment ID: I20070910000811 |
| Provider Name | Michael N Johnston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487698361 PECOS PAC ID: 8628162179 Enrollment ID: I20070914000585 |
| Provider Name | Tiffanee A Lenzi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578690806 PECOS PAC ID: 8921188590 Enrollment ID: I20080108000880 |
| Provider Name | Cori A Mckean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639107873 PECOS PAC ID: 7911073515 Enrollment ID: I20080905000110 |
| Provider Name | Robert H Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538384375 PECOS PAC ID: 8729137708 Enrollment ID: I20090521000419 |
| Provider Name | Kristen B Dettorre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154478964 PECOS PAC ID: 8426108390 Enrollment ID: I20090615000710 |
| Provider Name | Kurt Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942327648 PECOS PAC ID: 7113002551 Enrollment ID: I20090617000065 |
| Provider Name | Amanda D Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851534606 PECOS PAC ID: 8022169580 Enrollment ID: I20090624000353 |
| Provider Name | Kathleen Mayor-lynn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134177124 PECOS PAC ID: 1658379177 Enrollment ID: I20090630000327 |
| Provider Name | Heather L Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801887096 PECOS PAC ID: 7416950530 Enrollment ID: I20090720000563 |
| Provider Name | Mack A Jenkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679534309 PECOS PAC ID: 9234175225 Enrollment ID: I20090820000922 |
| Provider Name | Robert Scott Frankenfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275591042 PECOS PAC ID: 8022900851 Enrollment ID: I20090918000301 |
| Provider Name | Trenia Webb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154549004 PECOS PAC ID: 9537253752 Enrollment ID: I20091013000614 |
| Provider Name | Adam D Huggins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730396961 PECOS PAC ID: 5698812873 Enrollment ID: I20091020000552 |
| Provider Name | Kathryn Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194935361 PECOS PAC ID: 7810038528 Enrollment ID: I20100104000136 |
| Provider Name | Daniel Himes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376635789 PECOS PAC ID: 4981732815 Enrollment ID: I20100513000225 |
| Provider Name | Meghan A Hendrickson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588730535 PECOS PAC ID: 9830228071 Enrollment ID: I20100526000231 |
| Provider Name | Andrew N Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487788188 PECOS PAC ID: 1052504362 Enrollment ID: I20101019001265 |
| Provider Name | Patricia A Detzel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306802855 PECOS PAC ID: 0143213538 Enrollment ID: I20110118000174 |
| Provider Name | Ginny E. Barton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245457449 PECOS PAC ID: 3476723214 Enrollment ID: I20110902000402 |
| Provider Name | Karen F Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821057076 PECOS PAC ID: 8820900327 Enrollment ID: I20111121000699 |
| Provider Name | Ifeoluwa O Okusanya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861689432 PECOS PAC ID: 9234396607 Enrollment ID: I20120214000135 |
| Provider Name | Kathryn E Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841562907 PECOS PAC ID: 4587827407 Enrollment ID: I20120511000483 |
| Provider Name | Angela N Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467694489 PECOS PAC ID: 6800052473 Enrollment ID: I20120725001081 |
| Provider Name | Matthew D Lipton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982921383 PECOS PAC ID: 0345499539 Enrollment ID: I20121003000510 |
| Provider Name | Catherine Elizabeth Burger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467779017 PECOS PAC ID: 3476706557 Enrollment ID: I20130124000174 |
| Provider Name | Matthew Landon Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972824720 PECOS PAC ID: 3173779451 Enrollment ID: I20130828000838 |
| Provider Name | Howard Mather Bennett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720297013 PECOS PAC ID: 8224271960 Enrollment ID: I20130828000946 |
| Provider Name | John Lawrence Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548251705 PECOS PAC ID: 7517034432 Enrollment ID: I20130906000241 |
| Provider Name | Marylou Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669695250 PECOS PAC ID: 3870687924 Enrollment ID: I20131120001464 |
| Provider Name | Jordan D Rupp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467744151 PECOS PAC ID: 4981841939 Enrollment ID: I20140904001817 |
| Provider Name | William C Wooster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134351133 PECOS PAC ID: 2567683113 Enrollment ID: I20141023000689 |
| Provider Name | Junyang Brand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811307036 PECOS PAC ID: 2860715554 Enrollment ID: I20150105001427 |
| Provider Name | Callie Tuggle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902295983 PECOS PAC ID: 8426378357 Enrollment ID: I20150518000677 |
| Provider Name | Michael H Hochman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932160983 PECOS PAC ID: 2961470422 Enrollment ID: I20160301002257 |
| Provider Name | Ali Sevilla De Cocco |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366803801 PECOS PAC ID: 8729386107 Enrollment ID: I20160419000735 |
| Provider Name | Steven J Katz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073741211 PECOS PAC ID: 9739327412 Enrollment ID: I20160520001261 |
| Provider Name | Matthew S Swarm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023307022 PECOS PAC ID: 7214179191 Enrollment ID: I20160531001926 |
| Provider Name | Wilhelm Woolery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871624940 PECOS PAC ID: 0446343651 Enrollment ID: I20160624001400 |
| Provider Name | Lydia J Kelly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013076199 PECOS PAC ID: 7618071283 Enrollment ID: I20161116001892 |
| Provider Name | Drew Flansbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649432246 PECOS PAC ID: 7911170055 Enrollment ID: I20170131000921 |
| Provider Name | Leah C Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699135731 PECOS PAC ID: 3678843232 Enrollment ID: I20170714001626 |
| Provider Name | Collin Bills |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881984037 PECOS PAC ID: 4981995057 Enrollment ID: I20170920002714 |
| Provider Name | Tim Bongartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356461024 PECOS PAC ID: 7214002385 Enrollment ID: I20171013000821 |
| Provider Name | Ryan Michael Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851530588 PECOS PAC ID: 2567440316 Enrollment ID: I20171101002127 |
| Provider Name | Nathaniel Moore Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114313681 PECOS PAC ID: 1951604123 Enrollment ID: I20171218002514 |
| Provider Name | Kimberly Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881197457 PECOS PAC ID: 2365797800 Enrollment ID: I20180625000598 |
| Provider Name | Timothy A Crater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508845876 PECOS PAC ID: 0446285951 Enrollment ID: I20190114001111 |
| Provider Name | Kaitlyn Renee Works |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417301268 PECOS PAC ID: 6901190339 Enrollment ID: I20190221000782 |
| Provider Name | Andrew Scott Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134199649 PECOS PAC ID: 5597723940 Enrollment ID: I20190501001761 |
| Provider Name | Hannah Wuesthoff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457811960 PECOS PAC ID: 6406189265 Enrollment ID: I20190610002400 |
| Provider Name | Laura Doyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659780468 PECOS PAC ID: 9234351479 Enrollment ID: I20190826002854 |
| Provider Name | Kristen Nicole Trickett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588012546 PECOS PAC ID: 5496033508 Enrollment ID: I20190827001291 |
| Provider Name | Matthew Ryan Brock |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1275811077 PECOS PAC ID: 3678804820 Enrollment ID: I20191018002326 |
| Provider Name | Megan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598230492 PECOS PAC ID: 9032441670 Enrollment ID: I20191030003243 |
| Provider Name | Aisha Kamilah Lynn Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841844636 PECOS PAC ID: 7911330014 Enrollment ID: I20191203002846 |
| Provider Name | Laura D'aoust |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033563986 PECOS PAC ID: 0749615045 Enrollment ID: I20200114003348 |
| Provider Name | Matthew J Pirotte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942466552 PECOS PAC ID: 3577710193 Enrollment ID: I20200115002727 |
| Provider Name | Stephen Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205468949 PECOS PAC ID: 8325476336 Enrollment ID: I20200324003878 |
| Provider Name | Nathaniel Clifford Klein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780949297 PECOS PAC ID: 2466750708 Enrollment ID: I20200507002078 |
| Provider Name | Jeremy Allen Crook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215344064 PECOS PAC ID: 2466765888 Enrollment ID: I20200612001294 |
| Provider Name | Jason Van Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427390749 PECOS PAC ID: 7810276433 Enrollment ID: I20200626001250 |
| Provider Name | Joseph B Broderick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750812731 PECOS PAC ID: 4587934773 Enrollment ID: I20200702002274 |
| Provider Name | Amanda Lynn Lynall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417301573 PECOS PAC ID: 4688903222 Enrollment ID: I20200706003172 |
| Provider Name | Jessica Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578197836 PECOS PAC ID: 0648693432 Enrollment ID: I20200713002156 |
| Provider Name | Rachel Anne Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528592680 PECOS PAC ID: 4688927536 Enrollment ID: I20200727002176 |
| Provider Name | Adebukola Ajagunna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215468541 PECOS PAC ID: 3375968894 Enrollment ID: I20200730003891 |
| Provider Name | John D Pitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265787295 PECOS PAC ID: 2466694039 Enrollment ID: I20200803002564 |
| Provider Name | Evan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770112096 PECOS PAC ID: 7911323282 Enrollment ID: I20200817003565 |
| Provider Name | Jennifer J Hess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154309953 PECOS PAC ID: 9335282078 Enrollment ID: I20200901003519 |
| Provider Name | Gyu Chang Jo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245894724 PECOS PAC ID: 0244566511 Enrollment ID: I20201211000256 |
| Provider Name | Marie Elizabeth Brock |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1013300367 PECOS PAC ID: 6406112028 Enrollment ID: I20210519002096 |
| Provider Name | Heidi Bevans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801495338 PECOS PAC ID: 8224437108 Enrollment ID: I20210526000336 |
| Provider Name | Bailey Leavell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326416637 PECOS PAC ID: 1153698592 Enrollment ID: I20210709000653 |
| Provider Name | Margaret D Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780641605 PECOS PAC ID: 3072411537 Enrollment ID: I20210716000014 |
| Provider Name | Michael Louis Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790917318 PECOS PAC ID: 3678864618 Enrollment ID: I20210720001775 |
| Provider Name | Pamela K Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962585661 PECOS PAC ID: 4880098532 Enrollment ID: I20210803002890 |
| Provider Name | Michael Abayomi-itunu Olushoga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427555432 PECOS PAC ID: 6800215773 Enrollment ID: I20210819001389 |
| Provider Name | Jodi Christine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194253732 PECOS PAC ID: 8628497732 Enrollment ID: I20210901000208 |
| Provider Name | Graham W Van Schaik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154984581 PECOS PAC ID: 4082012927 Enrollment ID: I20211007002091 |
| Provider Name | Bryant James Rosell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073176061 PECOS PAC ID: 0840698460 Enrollment ID: I20211013000773 |
| Provider Name | Julie Trouy Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295771863 PECOS PAC ID: 6709770175 Enrollment ID: I20211122001013 |
| Provider Name | Chelsea Marley Clinton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720354905 PECOS PAC ID: 9335432236 Enrollment ID: I20211124000983 |
| Provider Name | Abbie L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952652844 PECOS PAC ID: 5799921862 Enrollment ID: I20211201000205 |
| Provider Name | Jasmine M Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124780150 PECOS PAC ID: 7113319443 Enrollment ID: I20220119001501 |
| Provider Name | Douglas Wallace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285098806 PECOS PAC ID: 3577859735 Enrollment ID: I20220125001266 |
| Provider Name | Amanda Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972090108 PECOS PAC ID: 9436571635 Enrollment ID: I20220202000182 |
| Provider Name | Katharine S Cox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205883949 PECOS PAC ID: 1850366139 Enrollment ID: I20220228001185 |
| Provider Name | Aubri Kaitlin Charnigo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740711936 PECOS PAC ID: 7517380645 Enrollment ID: I20220621001584 |
| Provider Name | Lauren Lim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891354882 PECOS PAC ID: 1759618945 Enrollment ID: I20220624002083 |
| Provider Name | Andrew Wheeler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235545773 PECOS PAC ID: 7911211719 Enrollment ID: I20220707003420 |
| Provider Name | Amanda Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457006249 PECOS PAC ID: 9830579853 Enrollment ID: I20220708001380 |
| Provider Name | Gabrielle Gioia Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497374961 PECOS PAC ID: 9032590393 Enrollment ID: I20220718001787 |
| Provider Name | Anthony Chase Palisch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487158689 PECOS PAC ID: 0244622686 Enrollment ID: I20220802003697 |
| Provider Name | Kristina Chung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477116481 PECOS PAC ID: 2163804451 Enrollment ID: I20220803001433 |
| Provider Name | Justin Neal Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659834166 PECOS PAC ID: 3971986498 Enrollment ID: I20220817000136 |
| Provider Name | Jason Lesnick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376079327 PECOS PAC ID: 1850716291 Enrollment ID: I20220906002677 |
| Provider Name | Wendy Mon-gen Pierce Patton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104060490 PECOS PAC ID: 5799903365 Enrollment ID: I20220915003936 |
| Provider Name | Caleb Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699091876 PECOS PAC ID: 9032359245 Enrollment ID: I20221003002056 |
| Provider Name | Mitchell James Gillard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639798341 PECOS PAC ID: 7517335359 Enrollment ID: I20221129000124 |
| Provider Name | Leigh Ann Canter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760954598 PECOS PAC ID: 9830569714 Enrollment ID: I20230111000263 |
| Provider Name | Alyson Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467772434 PECOS PAC ID: 8224289731 Enrollment ID: I20230216000042 |
| Provider Name | Jean C Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053764035 PECOS PAC ID: 0345537254 Enrollment ID: I20230313000111 |
| Provider Name | Cynthia Elaine Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699481622 PECOS PAC ID: 2062877566 Enrollment ID: I20230505002551 |
| Provider Name | Emily Kathryn Pauw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245859032 PECOS PAC ID: 2264801869 Enrollment ID: I20230613000726 |
| Provider Name | Catherine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730885328 PECOS PAC ID: 7517325384 Enrollment ID: I20230627001181 |
| Provider Name | Julian Peter Suszanski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649581208 PECOS PAC ID: 3173757226 Enrollment ID: I20230707003171 |
| Provider Name | Anisa Yvonne Mughal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336778430 PECOS PAC ID: 2860854742 Enrollment ID: I20230809000834 |
| Provider Name | Lucas C Wollenman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538740832 PECOS PAC ID: 5294189775 Enrollment ID: I20231003000515 |
| Provider Name | John C Richier |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437116324 PECOS PAC ID: 3678508074 Enrollment ID: I20231201001057 |
| Provider Name | Alexa Leigh Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538742812 PECOS PAC ID: 9335682756 Enrollment ID: I20240613002775 |
| Provider Name | Nora Mcnulty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134756778 PECOS PAC ID: 2567905805 Enrollment ID: I20240614003066 |
| Provider Name | Harrison Ross Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174378590 PECOS PAC ID: 8224571278 Enrollment ID: I20240618002660 |
| Provider Name | Clayton Korson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477136927 PECOS PAC ID: 5991114597 Enrollment ID: I20240625000274 |
| Provider Name | Taylor Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245859081 PECOS PAC ID: 8123426681 Enrollment ID: I20240702000986 |
| Provider Name | Ian Charles Backstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730443508 PECOS PAC ID: 8325285752 Enrollment ID: I20240709001731 |
| Provider Name | Brian Gavan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871987875 PECOS PAC ID: 7719263912 Enrollment ID: I20240718001997 |
| Provider Name | Carl William Pastore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972132041 PECOS PAC ID: 4880059955 Enrollment ID: I20240729002638 |
| Provider Name | Lynea Bull |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497374763 PECOS PAC ID: 8022478247 Enrollment ID: I20240808002001 |
| Provider Name | Abbey Smiley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063918381 PECOS PAC ID: 1759740061 Enrollment ID: I20240823003585 |
| Provider Name | Julie Allison Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902487994 PECOS PAC ID: 1456884113 Enrollment ID: I20241101003010 |
| Provider Name | Jeremy Aidan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376389429 PECOS PAC ID: 9234669367 Enrollment ID: I20250205000882 |
| Provider Name | Laura Stamper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043837511 PECOS PAC ID: 4688018831 Enrollment ID: I20250224002463 |
| Provider Name | Tia'asia Evelyn Jasmaine James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467197731 PECOS PAC ID: 9133648561 Enrollment ID: I20250528003283 |
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 | |
Mendrix Medical Associates Of Tennessee Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3348 William Bailey Dr, Nashville, TN 37207 Phone: 213-737-3301 | |
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 |