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MID STATE ENT, LLC
NPI 1164625828
Specialist in Hendersonville, TN

Active since June 08, 2007
107 GLEN OAK BLVD, SUITE 101, HENDERSONVILLE, TN 37075(615) 822-2177(615) 822-0300 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid State Ent, Llc NPPES

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

MID STATE ENT, LLC (NPI 1164625828) is a healthcare organization registered as a specialist in Hendersonville, Tennessee and active in the NPI registry since June 2007. The organization lists Raymond B Demoville, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1164625828
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMID STATE ENT, LLC
Location Address107 GLEN OAK BLVD, SUITE 101Hendersonville, TN 37075
Mailing Address107 Glen Oak Blvd, Suite 101Hendersonville, TN 37075 · (615) 822-2177 · Fax (615) 822-0300
Phone(615) 822-2177
Fax(615) 822-0300
Organization SubpartNo
Authorized OfficialRaymond B DemovilleCo-owner · (615) 822-2177
Enumeration DateJune 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164625828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
107 GLEN OAK BLVD, Hendersonville, TN 37075
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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 7

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

MR. SCOTT ALAN HANDE MD
Internal Medicine (Gastroenterology)
107 GLEN OAK BLVD, SUITE 202
HENDERSONVILLE, TN 37075
Sumner County (615) 826-0710
RELIANCE MEDICAL ASSOCIATES PLLC
Internal Medicine
107 GLEN OAK BLVD, STE 200
HENDERSONVILLE, TN 37075
Sumner County (615) 822-1993
DR. DAVID SCOTT MORRIS MD
Urology
107 GLEN OAK BLVD
HENDERSONVILLE, TN 37075
Sumner County (615) 822-9336
GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES
Nurse Practitioner (Adult Health)
107 GLEN OAK BLVD, 202
HENDERSONVILLE, TN 37075
Sumner County (615) 826-0710
AMANDA NICOLE NEWLON
Nurse Practitioner (Family)
107 GLEN OAK BLVD
HENDERSONVILLE, TN 37075
Sumner County (615) 826-0710
GASTROENTEROLOGY & HEPATOLOGY ASSOCIATES PLLC
Internal Medicine (Gastroenterology)
107 GLEN OAK BLVD, SUITE 202
HENDERSONVILLE, TN 37075
Sumner County (615) 826-0710
MR. RANDY HOWARD M.D.
Internal Medicine (Gastroenterology)
107 GLEN OAK BLVD, SUITE 202
HENDERSONVILLE, TN 37075
Sumner County (615) 826-0710

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 Mid State Ent, LLC's NPI number?

The NPI number for Mid State Ent, LLC is 1164625828. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Mid State Ent, LLC located?

Mid State Ent, LLC is located at 107 Glen Oak Blvd Suite 101, Hendersonville, TN 37075. The listed phone number is (615) 822-2177.

What is Mid State Ent, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mid State Ent, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.