MID TN MEDICAL HERMITAGE PLLC (NPI# 1336525450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336525450 |
| Entity Type | Organization |
| Organization Name | MID TN MEDICAL HERMITAGE PLLC |
| Other Organization Name | HERMITAGE FAMILY PRACTICE |
| Practice Address |
244 Jackson Meadows Dr Hermitage TN 37076-1425 |
| Mailing Address |
405 Wild Elm St Franklin TN 37064-8650 |
| Practice Telephone | 6153100022 |
| Mailing Telephone | 6153100022 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | DR. MELINDA HENDERSON (MEMBER) |
| Authorized Official Telephone | 6153100022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hermitage Family Practice | Doing Business As Name - Organization |
| Street Address |
244 JACKSON MEADOWS DR |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679581482 | Thomas Dale Evans | Physical Therapist | 244 Jackson Meadows Dr, Hermitage, TN 37076-1425 | 2006-08-04 |
| 1902377948 | Tom Evans Physical Therapy LLC | Physical Therapist | 244 Jackson Meadows Dr, Hermitage, TN 37076-1425 | 2018-12-17 |
| 1841658192 | Lucy Wall | Nurse Practitioner | 244 Jackson Meadows Dr, Hermitage, TN 37076-1425 | 2016-02-02 |
| 1861889305 | Laura A Holliday | Nurse Practitioner | 244 Jackson Meadows Dr, Hermitage, TN 37076-1425 | 2015-04-22 |
| 1730389743 | Dawn Bruni | Nurse Practitioner | 244 Jackson Meadows Dr, Hermitage, TN 37076-1425 | 2007-07-19 |
| 1336340108 | Steven R Kinney, Md | Family Medicine | 244 Jackson Meadows Dr, Hermitage, TN 37076-1425 | 2007-05-30 |
| 1275691073 | Steven Ross Kinney | Family Medicine | 244 Jackson Meadows Dr, Hermitage, TN 37076-1425 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
| Find all providers in zip 37076 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1780116806 | Kayla Milano | Family Medicine | 2425 Garden Way Ste 102, Hermitage, PA 16148-5215 | 2017-03-29 |
| 1558616532 | Willis Family Medical Center, P.C. | Family Medicine | 3441 Lebanon Pike Ste 101, Hermitage, TN 37076-2000 | 2012-07-17 |
| 1851402010 | Gordon Reed Wouters | Family Medicine | Hwy 254 & Dallas St., Hermitage, MO 65668 | 2006-08-31 |
| 1689639676 | Robert A Cicuto | Family Medicine | 2213 Shenango Valley Freeway, Hermitage, PA 16148 | 2006-04-20 |
| 1649247255 | Covenant Family Medicine | Family Medicine | 3110 Highland Rd, Suite 203, Hermitage, PA 16148-4505 | 2006-03-02 |
| 1386615540 | Cynthia L Wallace | Family Medicine | 4777 Andrew Jackson Pkwy, Suite 101, Hermitage, TN 37076-1356 | 2006-01-27 |
| 1932179389 | Gregory D. Witters | Family Medicine | 4777 Andrew Jackson Parkway, Suite 102, Hermitage, TN 37076 | 2006-01-26 |
| 1477533834 | William Joseph Herbert | Family Medicine | 3910 E State St, Hermitage, PA 16148-3405 | 2006-01-20 |
| 1710968037 | Richard Y Pak | Family Medicine | 3939 Central Pike, Hermitage, TN 37076 | 2005-11-14 |
| Find all providers in HERMITAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.