GETHSEMANE CARDIOVASCULAR CLINIC PLLC
NPI 1356652200
Internal Medicine - Cardiovascular Disease in Murfreesboro, TN
About Gethsemane Cardiovascular Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GETHSEMANE CARDIOVASCULAR CLINIC PLLC (NPI 1356652200) is a healthcare organization registered as a cardiovascular disease in Murfreesboro, Tennessee and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Vanessa Jackson, Admin, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gethsemane Cardiovascular Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Gethsemane Cardiovascular Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Murfreesboro, TN 37129
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D2138733
Gethsemane Cardiovascular Clinic, PLLC · Murfreesboro, TNFrequently 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 Gethsemane Cardiovascular Clinic PLLC's NPI number?
The NPI number for Gethsemane Cardiovascular Clinic PLLC is 1356652200. It was assigned to this organization in the NPPES registry on June 25, 2010.
Where is Gethsemane Cardiovascular Clinic PLLC located?
Gethsemane Cardiovascular Clinic PLLC is located at 1602 W Northfield Blvd Suite 511, Murfreesboro, TN 37129. The listed phone number is (615) 494-1255.
What is Gethsemane Cardiovascular Clinic PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Gethsemane Cardiovascular Clinic PLLC enrolled in Medicare?
Yes. Gethsemane Cardiovascular Clinic PLLC is registered in the Medicare PECOS enrollment system.
When is Gethsemane Cardiovascular Clinic PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Gethsemane Cardiovascular Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gethsemane Cardiovascular Clinic PLLC, in Cardiovascular Disease (Cardiology) and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gethsemane Cardiovascular Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2138733) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Gethsemane Cardiovascular Clinic PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gethsemane Cardiovascular Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gethsemane Cardiovascular Clinic PLLC was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Gethsemane Cardiovascular Clinic Pllc · NPI 1356652200
Cardiovascular Disease organization in Murfreesboro, Tennessee. Organization record, active in the CMS NPPES registry since June 25, 2010.
## Identity
- **NPI:** 1356652200 (Entity type: Organization)
- **Enumerated:** June 25, 2010
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Vanessa Jackson, ADMIN
## Practice location
- **Address:** 1602 W NORTHFIELD BLVD, SUITE 511, Murfreesboro, TN 37129-6057
- **Phone:** (615) 494-1255
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356652200) · Data from the CMS NPPES public registry.