ICON PEDIATRICS, LLC (NPI# 1720406010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720406010 |
| Entity Type | Organization |
| Organization Name | ICON PEDIATRICS, LLC |
| Practice Address |
1900 Church St Suite 300 Nashville TN 37203-2234 |
| Practice Telephone | 6156478282 |
| Practice Fax Number | 6156478283 |
| Mailing Telephone | 6156478282 |
| Mailing Fax Number | 6156478283 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Authorized Official Name | EDDIE D HAMILTON (CEO) |
| Authorized Official Telephone | 6154974372 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
19089 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3034011 | 05 |
| Street Address |
1900 CHURCH ST SUITE 300 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336110154 | Robert Mason Tomsett Jr. | Physician Assistant | 1900 Church St, Suite 511, Nashville, TN 37203-2234 | 2006-01-30 |
| 1952851289 | Tera Sheriff | Technician | 1900 Church St, Nashville, TN 37203-2234 | 2016-10-11 |
| 1003261181 | Compassionate Care Nursing Agency | Nursing Care | 1900 Church St, Nashville, TN 37203-2234 | 2016-04-26 |
| 1043693898 | Specialtee Transportation | Contractor | 1900 Church St, Suite 300, Nashville, TN 37203-2234 | 2015-06-29 |
| 1154570422 | Tri-cities Iom LLC | Specialist/Technologist, Other | 1900 Church St, Suite 102, Nashville, TN 37203-2234 | 2008-09-11 |
| 1245429455 | Northwest Iom Specialists | Specialist/Technologist, Other | 1900 Church St, Suite 102, Nashville, TN 37203-2234 | 2007-10-24 |
| 1215065123 | Mitzi Leigh Hines | Social Worker | 1900 Church St, Suite 300, Nashville, TN 37203-2234 | 2007-03-01 |
| 1538170857 | Karen Ruth Nash | Social Worker | 1900 Church St, Suite 201, Nashville, TN 37203-2234 | 2006-08-11 |
| 1093723785 | Nicole Elizabeth Jesser | Social Worker | 1900 Church St, Suite 201, Nashville, TN 37203-2234 | 2006-08-04 |
| 1578584199 | Tennessee Women's Care, PC | Obstetrics & Gynecology | 1900 Church St, Suite 100, Nashville, TN 37203-2234 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598270746 | Wellness for Life | Clinic/Center | 1749 State Road 46, Nashville, IN 47448 | 2017-12-11 |
| 1063946796 | Hope Health and Healing Clinic | Clinic/Center | 1375 Old Hickory Blvd, Nashville, TN 37207-1423 | 2017-04-19 |
| 1881132728 | Nashville General Hospital | Clinic/Center | 515 Madison St, Apt.424, Nashville, TN 37208-1621 | 2017-02-10 |
| 1386197408 | Ourhealth LLC | Clinic/Center | 1415 Murfreesboro Pike, Suite 228, Nashville, TN 37217-2829 | 2016-07-25 |
| 1245600618 | Pruitt's Discount Pharmacy, LLC | Clinic/Center | 811 Dickerson Pike, C, Nashville, TN 37207-5632 | 2015-09-29 |
| 1437546694 | Missionpoint Services, LLC | Clinic/Center | 505 Mainstream Dr, Nashville, TN 37228-1208 | 2015-04-24 |
| 1376945352 | Nashville Integrated Medicine | Clinic/Center | 2933 Berry Hill Dr, Ste A, Nashville, TN 37204-3126 | 2014-09-21 |
| 1093131559 | Sameerah Ali Mobile Med Pllc | Clinic/Center | 1602 8th Ave S, Nashville, TN 37203-5009 | 2014-03-07 |
| 1245671114 | Genesis Weight and Age Management | Clinic/Center | 2207 Crestmoor Rd, Ste 204, Nashville, TN 37215-2037 | 2013-07-08 |
| 1447530480 | Provide Locums Healthcare Providers LLC | Clinic/Center | 41 Peabody St, Nashville, TN 37210-2125 | 2011-08-23 |
| Find all providers in NASHVILLE | ||||
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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.