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GETHSEMANE CARDIOVASCULAR CLINIC PLLC
NPI 1356652200
Internal Medicine - Cardiovascular Disease in Murfreesboro, TN

Active since June 25, 2010CLIA 44D2138733 · Waiver
1602 W NORTHFIELD BLVD, SUITE 511, MURFREESBORO, TN 37129(615) 494-1255 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1356652200
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameGETHSEMANE CARDIOVASCULAR CLINIC PLLC
Location Address1602 W NORTHFIELD BLVD, SUITE 511Murfreesboro, TN 37129-6057
Mailing Address1602 W Northfield Blvd, Suite 511Murfreesboro, TN 37129-6057 · (615) 494-1255
Phone(615) 494-1255
Organization SubpartNo
Authorized OfficialVanessa JacksonAdmin · (615) 494-1255
Enumeration DateJune 25, 2010
✔ NPI 1356652200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TN · 38872
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1602 W NORTHFIELD BLVD, Murfreesboro, TN 37129
Open in Google Maps ↗

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

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, TN
Active · expires Oct 23, 2027
CLIA Number44D2138733
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorPaul A. Jackson
Laboratory Phone(615) 494-1245
Laboratory LocationGethsemane Cardiovascular Clinic, PLLC1602 W Northfield Blvd Suite 511, Murfreesboro, TN 37129
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. PAUL A JACKSON M.D.
Internal Medicine (Cardiovascular Disease)
1602 W NORTHFIELD BLVD, SUITE 511
MURFREESBORO, TN 37129
Rutherford County (615) 494-1255
GETHSEMANE CARDIOVASCULAR CLINIC
Internal Medicine (Cardiovascular Disease)
1602 W NORTHFIELD BLVD, SUITE 511 & 512
MURFREESBORO, TN 37129
Rutherford County (615) 494-1255
DR. MARK GERALD WEISSINGER M.D.
Obstetrics & Gynecology
1602 W NORTHFIELD BLVD, SUITE 510
MURFREESBORO, TN 37129
Rutherford County (931) 684-2224
MARK WEISSINGER, MD, PLLC
Obstetrics & Gynecology
1602 W NORTHFIELD BLVD, SUITE 510
MURFREESBORO, TN 37129
Rutherford County (615) 867-7352

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 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.

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.

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.