STATE OF TENNESSEE (NPI# 1437200474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437200474 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | DEKALB COUNTY HEALTH DEPARTMENT |
| Practice Address |
254 Tiger Dr Smithville TN 37166-6812 |
| Mailing Address |
1100 England Drive Cookeville TN 38501-0924 |
| Practice Telephone | 6155977599 |
| Practice Fax Number | 6155971349 |
| Mailing Telephone | 9315204201 |
| Mailing Fax Number | 9315203871 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-02-23 |
| Authorized Official Name | DR. DONALD W. GRISHAM (HEALTH OFFICER / MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9315204203 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | ========= | TN | Agencies |
| Y | 251K00000X | Public Health or Welfare | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 444-7863 | 05 |
| Other Name | Type Code |
|---|---|
| DeKalb County Health Department | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| Street Address |
254 TIGER DR |
| City | SMITHVILLE |
| State | TN |
| Zip Code | 37166-6812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033600515 | Heather M Little | Licensed Practical Nurse | 254 Tiger Dr, Smithville, TN 37166-6812 | 2018-05-21 |
| 1760916720 | Lauren Grissom | Licensed Practical Nurse | 254 Tiger Dr, Smithville, TN 37166-6812 | 2017-04-17 |
| 1902254279 | Amber Garmon | Registered Nurse | 254 Tiger Dr, Smithville, TN 37166-6812 | 2016-05-27 |
| 1154714160 | Jessica Ingram Terrell | Nurse Practitioner | 254 Tiger Dr, Smithville, TN 37166-6812 | 2015-03-16 |
| 1679976336 | Ronda Johnson | Licensed Practical Nurse | 254 Tiger Dr, Smithville, TN 37166-6812 | 2014-10-08 |
| 1841615614 | Ashley Ruth Young | Licensed Practical Nurse | 254 Tiger Dr, Smithville, TN 37166-6812 | 2014-03-03 |
| 1811330178 | Monica Denise Turner | Registered Nurse | 254 Tiger Dr, Smithville, TN 37166-6812 | 2013-04-16 |
| 1144582784 | Ashby Cripps Woodward | Registered Nurse | 254 Tiger Dr, Smithville, TN 37166-6812 | 2012-06-11 |
| 1740413079 | Nichole A Wollf | Nurse's Aide | 254 Tiger Dr, Smithville, TN 37166-6812 | 2009-09-03 |
| 1093944894 | Linda Frison Flagg | Registered Nurse | 254 Tiger Dr, Smithville, TN 37166-6812 | 2009-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263420 | Results-ast Jv, LLC | Physical Therapist | 527 West Main Street, Smithville, TN 37166 | 2020-10-21 |
| 1205056579 | Daniel Jefferson Barnes | Dentist | 407 South Mt Street, Smithville, TN 37166 | 2007-04-27 |
| 1285762310 | Linda L Allison | Physical Therapy Assistant | 825 Fisher, Nhc, Smithville, TN 37166 | 2007-03-01 |
| 1467538652 | James C Wall Jr. | General Practice | 518c West Main St, Smithville, TN 37166 | 2006-10-31 |
| 1295844413 | Caldwells Drug Store Inc | Pharmacy | 511 W Main St, Smithville, TN 37166 | 2006-08-30 |
| 1619086865 | Ivan Lynn Caldwell | Pharmacist | 511 West Main Street, Smithville, TN 37166 | 2006-08-30 |
| 1659329670 | Robert R Atnip | Chiropractor | 205 S Fourth Street, Smithville, TN 37166 | 2006-05-04 |
| 1154727196 | Natalie Whorton | Counselor | 301 W Main St, Smithville, TN 37166 | 2014-11-18 |
| 1376873521 | Good Health Family Clinic, Inc | Nurse Practitioner | 414 E Broad St, Suite C, Smithville, TN 37166 | 2010-01-11 |
| 1396923199 | Timothy D Tobitt | Nurse Practitioner | 414 E Broad St, Good Health Fmaily Clinic, Inc., Smithville, TN 37166 | 2008-02-04 |
| Find all providers in zip 37166 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054068 | Serious Healthcare Corporation | Public Health or Welfare | 100 Cherokee Blvd Ste 2010, Chattanooga, TN 37405-3864 | 2020-05-14 |
| 1477017150 | Christopher Todd Crouse | Public Health or Welfare | 963 Promenade Dr, Adams, TN 37010-1400 | 2019-01-26 |
| 1184195612 | Management Solutions LLC | Public Health or Welfare | 2202 Award Winning Way Ste 201, Knoxville, TN 37932-1992 | 2018-12-10 |
| 1144739764 | Roots Healthcare and Homes, LLC | Public Health or Welfare | 1150 Saunders Ave, Memphis, TN 38127-5229 | 2017-09-26 |
| 1285155150 | Helping Hands of Middle & West Tennessee | Public Health or Welfare | 1408 N Highland Ave Ste 100, Jackson, TN 38301-3450 | 2017-06-30 |
| 1881068757 | Alcoa Fire Department | Public Health or Welfare | 2010 N Wright Rd, Alcoa, TN 37701-3804 | 2015-11-16 |
| 1124494059 | Tennessee Department of Children's Services | Public Health or Welfare | 436 6th Ave N, Nashville, TN 37243-9004 | 2015-08-14 |
| 1477975654 | Mull Foundation | Public Health or Welfare | 6796 Blue Lake Ln, Memphis, TN 38141-0582 | 2014-01-07 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| Find all providers with the same taxonomy | ||||
| City | SMITHVILLE |
| Zip Code | 37166 |
Please comment or provide details below to improve the information on STATE OF TENNESSEE.
| 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.