MIDDLE TENNESSEE ADDICTION CLINIC (NPI# 1427417450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427417450 |
Entity Type | Organization |
Organization Name | MIDDLE TENNESSEE ADDICTION CLINIC |
Other Organization Name | MIDDLE TENNESSEE ADDICTION CENTER |
Practice Address |
801 Hill St Springfield TN 37172-2951 |
Practice Telephone | 6153823002 |
Practice Fax Number | 6153822295 |
Mailing Telephone | 6153823002 |
Mailing Fax Number | 6153822295 |
Enumeration Date | 2016-02-18 |
Last Update Date | 2016-02-18 |
Authorized Official Name | DR. ROBERT ALLEN SHEARER (OWNER) |
Authorized Official Telephone | 6153823002 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
10243 | TN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3180202 | 05 | |
TN | BLUE CROSS | 4307400 | 01 |
Other Name | Type Code |
---|---|
Middle Tennessee Addiction Center | Doing Business As Name - Organization |
Street Address |
801 HILL ST |
City | SPRINGFIELD |
State | TN |
Zip Code | 37172-2951 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134142987 | Robert Allen Shearer | Obstetrics & Gynecology | 801 Hill St, Springfield, TN 37172-2951 | 2006-07-25 |
1821630161 | Austin Leigh Jarrell | Counselor | 801 Hill St, Springfield, TN 37172-2951 | 2019-10-08 |
1639656986 | Impact Healthcare Pllc | Family Medicine | 801 Hill St, Springfield, TN 37172-2951 | 2018-07-19 |
1992199087 | Megen Reynolds | Social Worker | 801 Hill St, Springfield, TN 37172-2951 | 2015-03-26 |
1629472832 | Elisabeth Batson | Nurse Practitioner | 801 Hill St, Springfield, TN 37172-2951 | 2014-10-17 |
1134491814 | Swan Urogynecology PC | Clinic/Center | 801 Hill St, Springfield, TN 37172-2951 | 2012-01-27 |
1376682633 | Millbrook Medical Center | Pediatrics | 801 Hill St, Springfield, TN 37172-2951 | 2007-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447859376 | Results-ast Jv, LLC | Physical Therapist | 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 | 2020-10-21 |
1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
1922610427 | Jenae Annette Rankin | Physical Therapist | Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 | 2020-08-18 |
1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
1871148965 | Austin Chhut | Occupational Therapy Assistant | Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 | 2019-08-06 |
1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
1083163752 | The Ridge | Counselor | 514 Hill Street, Springfield, TN 37172 | 2016-09-23 |
1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
1174964258 | Molly Williams | Registered Nurse | 800 S. Brown Street, Springfield, TN 37172 | 2013-07-17 |
Find all providers in zip 37172 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 37172 |
Please comment or provide details below to improve the information on MIDDLE TENNESSEE ADDICTION CLINIC.
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.