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PETRE-JO LLC
NPI 1063876076
Preferred Provider Organization in Madison, TN

Active since April 06, 2016
607 W DUE WEST AVE STE 95, MADISON, TN 37115(615) 982-8081 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Petre-jo Llc NPPES

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

PETRE-JO LLC (NPI 1063876076) is a healthcare organization registered as a preferred provider organization in Madison, Tennessee and active in the NPI registry since April 2016. The organization lists Peter Konecny, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1063876076
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NamePETRE-JO LLC
Location Address607 W DUE WEST AVE STE 95Madison, TN 37115-4415
Mailing Address858 Harbour Greens PlSparta, TN 38583-4294 · (931) 761-0410 · Fax (855) 210-7700
Phone(615) 982-8081
Organization SubpartYes
Authorized OfficialPeter KonecnyManaging Member · (931) 761-0410
Enumeration DateApril 6, 2016
✔ NPI 1063876076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in TN · L000000017166
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
607 W DUE WEST AVE STE 95, Madison, TN 37115
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petre-Jo LLC's NPI number?

The NPI number for Petre-Jo LLC is 1063876076. It was assigned to this organization in the NPPES registry on April 6, 2016.

Where is Petre-Jo LLC located?

Petre-Jo LLC is located at 607 W Due West Ave Ste 95, Madison, TN 37115. The listed phone number is (615) 982-8081.

What is Petre-Jo LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Petre-Jo LLC was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.