MID TN CLINIC LLC
NPI 1154179950
Clinical Nurse Specialist - Acute Care in Nashville, TN

NPI Status: Active since May 08, 2024

Contact Information

3413 NOLENSVILLE PIKE
NASHVILLE, TN
ZIP 37211
Phone: (615) 569-4067

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  • Organization
  • Clinical Nurse Specialist
  • Acute Care
  • CLIA Number: 44D2307124
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 07-01-2026

About MID TN CLINIC LLC

This page provides the complete NPI Profile along with additional information for Mid Tn Clinic Llc, a provider established in Nashville, Tennessee operating as a Clinical Nurse Specialist, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1154179950 assigned on May 2024. The practitioner's primary taxonomy code is 364SA2100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Bola Gabriel Pa (Co-owner/manager)

NPI
1154179950
Provider Name
MID TN CLINIC LLC
Entity Type
Organization
Location Address
3413 NOLENSVILLE PIKE NASHVILLE, TN 37211
Location Phone
(615) 569-4067
Mailing Address
3413 NOLENSVILLE PIKE NASHVILLE, TN 37211
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2024
Last Update Date
05-08-2024
Code Navigator

A Clinical Nurse Specialist (CNS) like Mid Tn Clinic Llc is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Nurse Specialist Acute Care

Taxonomy Code
364SA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BOLA GABRIEL PA

Authorized Official Title
CO-OWNER/MANAGER
Authorized Official Phone
(615) 569-4067

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2307124
Facility Type
Practitioner Other
Certificate Effective Date
July 02, 2024
Certificate Expiration Date
July 01, 2026
Laboratory Director
BOLA S. GABRIEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mid Tn Clinic Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154179950, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 2 + 7 + 1 + 8 + 9 + 1 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1154179950.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine
3413 NOLENSVILLE PIKE, SUITE A
NASHVILLE, TN 37211
Internal Medicine
3413 NOLENSVILLE PIKE, SUITE A
NASHVILLE, TN 37211
Clinic/Center (Urgent Care)
3413 NOLENSVILLE PIKE
NASHVILLE, TN 37211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154179950, enumerated as an "organization" on May 08, 2024.

The provider is located at 3413 NOLENSVILLE PIKE NASHVILLE, TN 37211 and the phone number is (615) 569-4067.

Clinical Nurse Specialist with taxonomy code 364SA2100X and a focus in Acute Care.