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DR. DIANE SIMONE MCDERMOTT MEDICAL DOCTOR
NPI 1104987262
Family Medicine in Goodlettsville, TN

Active since December 13, 2006
824 WREN RD, GOODLETTSVILLE, TN 37072(615) 851-8959(615) 851-5949 Get Directions Write a Review

NPPES record last updated: November 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Diane Simone Mcdermott Medical Doctor NPPES

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

DR. DIANE SIMONE MCDERMOTT MEDICAL DOCTOR (NPI 1104987262) is an individual family medicine provider in Goodlettsville, Tennessee, licensed in Tennessee (MD25154) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1104987262
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DIANE SIMONE MCDERMOTTCredential: MEDICAL DOCTOR
Location Address824 WREN RDGoodlettsville, TN 37072-2312
Mailing Address824 Wren RdGoodlettsville, TN 37072-2312 · (615) 851-8959 · Fax (615) 851-5949
Phone(615) 851-8959
Fax(615) 851-5949
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateNovember 5, 2008
✔ NPI 1104987262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD25154
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
824 WREN RD, Goodlettsville, TN 37072
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Other Names 1

Other Name (5)Diane Simone Mcdermott Medical Doctor

Other Identifiers 13

Medicaid3094940TN
Other205724681Healing Place Fmc Ein
Other205724681United Healthcare
OtherTN0102Americhoice
Other7078597Aetna
Other01041710Amerigroup
Other6271922Cigna
OtherG20365Healthsprings
Other3736131Medicare Group Pricing No
OtherSSNTricare
Medicare UPING20365
Other4147626Bcbs
Medicare PIN3094940

Other Providers at the Same Location NPPES 4

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

HEALING PLACE FAMILY MEDICINE
Clinic/Center
824 WREN RD
GOODLETTSVILLE, TN 37072
Davidson County (615) 851-8959
DR. JOHN BOYD JR. DPM
Podiatrist (Foot & Ankle Surgery)
824 WREN RD
GOODLETTSVILLE, TN 37072
Davidson County (615) 220-8788
ADVANCED DIAGNOSTIC IMAGING PC
Durable Medical Equipment & Medical Supplies
824 WREN RD
GOODLETTSVILLE, TN 37072
Davidson County (615) 220-8788
DR. RONALD IAN MCDERMOTT MD
Family Medicine
824 WREN RD
GOODLETTSVILLE, TN 37072
Davidson County (615) 851-8959

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 Diane Mcdermott's NPI number?

The NPI number for Diane Mcdermott is 1104987262. It was assigned to this individual provider in the NPPES registry on December 13, 2006. The provider is also known as Diane Simone Mcdermott Medical Doctor.

Where is Diane Mcdermott located?

Diane Mcdermott practices at 824 Wren Rd, Goodlettsville, TN 37072. The listed phone number is (615) 851-8959.

What is Diane Mcdermott's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Diane Mcdermott was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.