CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE (NPI# 1801345285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801345285 |
| Entity Type | Organization |
| Organization Name | CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE |
| Practice Address |
2636 N Mount Juliet Rd Mount Juliet TN 37122-8015 |
| Practice Telephone | 6156800110 |
| Mailing Telephone | 6156800110 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2018-05-30 |
| Authorized Official Name | JOSEPH BOND (OWNER) |
| Authorized Official Telephone | 6156800110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 East 4th Street, Hohenwald, TN 38462 | 9312953392 | |
| 1217 Hatcher Ln, Columbia, TN 384013531 | 9315488882 | 9315488053 |
| Street Address |
2636 N MOUNT JULIET RD |
| City | MOUNT JULIET |
| State | TN |
| Zip Code | 37122-8015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831648054 | Trent Hughes | Counselor | 2636 N Mount Juliet Rd, Mount Juliet, TN 37122-8015 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628084 | Your Motion Physical Therapy Pllc | Physical Therapist | 102 Vanner Rd, Mt. Juliet, TN 37122 | 2020-01-14 |
| 1639728355 | Brantley Allen Thigpen | Student in an Organized Health Care Education/Training Program | 2128, Fellowshid Rd, Mount Juliet, TN 37122 | 2019-09-05 |
| 1811479272 | Jessica Danielle Parker | Nurse Practitioner | 854 N Mt Juliet Road, Mt Juliet, TN 37122 | 2018-09-02 |
| 1952891798 | Twin Lakes Dental Care Pllc | Clinic/Center | 11315 Lebanon Rd, Mount Juliet, TN 37122 | 2018-05-17 |
| 1346768983 | William Siegel | Chiropractor | 650 S. Mount Juliet Rd. Suite 105, Mount Juliet, TN 37122 | 2017-09-04 |
| 1194269506 | Michele Mcdermitt | Nurse Practitioner | 108 Providence Trail, Mt. Juliet, TN 37122 | 2016-12-05 |
| 1720537491 | Mt. Juliet Dental Group, PC | Dentist | 4155 N Mt Juliet Rd, Mt. Juliet, TN 37122 | 2016-09-23 |
| 1407302169 | Comprehensive Neurology Center, Pllc | Psychiatry & Neurology | 5000 Crossings Cir Ste 101, Mt Juliet, TN 37122 | 2016-08-31 |
| 1639624109 | Samantha Nicole Grishaber | Occupational Therapist | 5000 Crossing Circle, Suite 100, Mount Juliet, TN 37122 | 2016-08-24 |
| 1033584461 | Kimberly Campbell | Nurse Practitioner | 3500 N Mount Juliet Rd Ste 201, Mt Juliet, TN 37122 | 2015-12-10 |
| Find all providers in zip 37122 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649764911 | Addiction Center of Nashville LLC | Internal Medicine | 1300 Hatcher Ln Ste 5, Columbia, TN 38401-3554 | 2018-06-19 |
| 1508988650 | Murray Wilton Smith | Internal Medicine | 2 Sharonwood Dr, Nashville, TN 37215-1227 | 2007-04-06 |
| 1871623801 | Roland W Gray | Internal Medicine | 3410 Clarksville Hwy, Nashville, TN 37218 | 2007-03-07 |
| 1598859894 | Lorin G Holst | Internal Medicine | 930 Adell Ree Park Ln, Knoxville, TN 37909-2543 | 2006-10-03 |
| 1972126837 | Volunteer Healing Centers, LLC | Internal Medicine | 622 Wilson Ave, Tullahoma, TN 37388-3265 | 2020-05-26 |
| 1497232540 | Applachian Recovery Care, Pllc | Internal Medicine | 2726 W State St, Bristol, TN 37620-1827 | 2018-07-22 |
| 1700377710 | John Robert Barrowclough, Md, Pllc | Internal Medicine | 2726 W State St, Bristol, TN 37620-1827 | 2018-05-24 |
| 1598256117 | Emmaus Medical and Counseling | Internal Medicine | 273 Highway 11 E, Bulls Gap, TN 37711-3433 | 2018-05-21 |
| 1710477450 | O.h.s. East Knoxville Clinic | Internal Medicine | 8712 Asheville Hwy, Knoxville, TN 37924-4501 | 2018-05-17 |
| 1396288890 | Renu Chattanooga, Pllc | Internal Medicine | 5870 Highway 153 Ste 122, Hixson, TN 37343-5826 | 2016-12-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT JULIET |
| Zip Code | 37122 |
Please comment or provide details below to improve the information on CEDAR RECOVERY CENTER OF MIDDLE 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.