UNIVERSITY MEDICAL CENTER
NPI 1063774552
Internal Medicine - Cardiovascular Disease in Lebanon, TN

Q: What is Lebanon Hma, LLC's NPI number?

The NPI number for Lebanon Hma, LLC is 1063774552. It was assigned to this organization in the NPPES registry on June 12, 2012. The provider is doing business as University Medical Center.

Q: What is Lebanon Hma, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Lebanon Hma, LLC was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2012

1411 W BADDOUR PKWY, LEBANON, TN 37087(615) 443-2500 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About University Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY MEDICAL CENTER (NPI 1063774552) is a healthcare organization registered as a cardiovascular disease in Lebanon, Tennessee and active in the NPI registry since June 2012. The organization lists John Barrett, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1063774552

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameLEBANON HMA, LLC

Location Address1411 W BADDOUR PKWYLebanon, TN 37087-2513

Mailing AddressPo Box 781299Sebastian, FL 32978-1299 · (772) 581-6226 · Fax (772) 581-5771

Phone(615) 443-2500

Organization SubpartNo

Authorized OfficialJohn BarrettBilling Manager · (772) 581-6226

Enumeration DateJune 12, 2012

✔ NPI 1063774552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1411 W BADDOUR PKWY, Lebanon, TN 37087

Open in Google Maps ↗

Other Names 1

Doing Business AsUniversity Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES EDDIE WATERS PHARMD, BCPS, CGP

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)