ULTRA HEALTH PROVIDERS III LLC
NPI 1366307696
Internal Medicine - Geriatric Medicine in Nashville, TN

Active since December 18, 2025
217 6TH AVE N STE 43952, NASHVILLE, TN 37219(731) 394-1145 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2026, Jan 9, 2026, Dec 18, 2025 (3 updates tracked since 2025).

About Ultra Health Providers Iii Llc NPPES

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

ULTRA HEALTH PROVIDERS III LLC (NPI 1366307696) is a healthcare organization registered as a geriatric medicine in Nashville, Tennessee and active in the NPI registry since December 2025. The organization lists Timothy Martinez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366307696
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameULTRA HEALTH PROVIDERS III LLC
Location Address217 6TH AVE N STE 43952Nashville, TN 37219-1903
Mailing AddressPo Box 26168, Dept 1141Oklahoma City, OK 73126-0168 · (731) 394-1145
Organization SubpartNo
Authorized OfficialTimothy MartinezCeo · (731) 394-1145
Enumeration DateDecember 18, 2025
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1366307696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
217 6TH AVE N STE 43952, Nashville, TN 37219

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ultra Health Providers Iii Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Ultra Health Providers III LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner18
Family Practice1

Clinicians, nearest first (19)

Nurse Practitioner
NPI 1952992810
1947 MADISON ST STE B
Clarksville, TN 37043
(931) 614-7169
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1750034492
107 BOYLES DR
Russellville, KY 42276
(629) 736-1907
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1942150156
124 W NASHVILLE ST
Pembroke, KY 42266
(731) 394-1145
✔ PECOS✔ Accepts Medicare53 mi
Nurse Practitioner
NPI 1952935371
1561 NEWTON AVE
Bowling Green, KY 42104
(731) 394-1145
✔ PECOS✔ Accepts Medicare59 mi
Nurse Practitioner
NPI 1891551784
1340 N GRUNDY QUARLES HWY
Gainesboro, TN 38562
(931) 268-0291
✔ PECOS✔ Accepts Medicare66 mi
Nurse Practitioner
NPI 1215428578
419 N SEMINARY ST
Madisonville, KY 42431
(731) 394-1145
✔ PECOS✔ Accepts Medicare90 mi
Nurse Practitioner
NPI 1699584417
718 GOODWIN LN
Leitchfield, KY 42754
(270) 259-4036
✔ PECOS✔ Accepts Medicare94 mi
Nurse Practitioner
NPI 1538925573
2725 FREDERICA ST
Owensboro, KY 42301
(270) 302-9182
✔ PECOS✔ Accepts Medicare111 mi
Nurse Practitioner
NPI 1417327008
1099 MEDICAL CENTER CIR
Mayfield, KY 42066
(270) 251-4350
✔ PECOS✔ Accepts Medicare112 mi
Nurse Practitioner
NPI 1336865039
114 DORIS CT
Elizabethtown, KY 42701
(440) 341-5025
✔ PECOS✔ Accepts Medicare120 mi
Family Practice
NPI 1104168178
346 SHADOW RIDGE DR
Jackson, TN 38305
(731) 345-0263
✔ PECOS✔ Accepts Medicare123 mi
Nurse Practitioner
NPI 1003645441
845 S 3RD ST
Louisville, KY 40203
(859) 432-5053
✔ PECOS✔ Accepts Medicare154 mi
Nurse Practitioner
NPI 1578152815
201 ABRAHAM FLEXNER WAY STE 905
Louisville, KY 40202
(502) 367-3360
✔ PECOS155 mi
Nurse Practitioner
NPI 1710572466
496 SOUTHLAND DR
Lexington, KY 40503
(859) 288-2392
✔ PECOS✔ Accepts Medicare179 mi
Nurse Practitioner
NPI 1548013592
490 W POPLAR AVE
Collierville, TN 38017
(731) 394-1145
✔ PECOS✔ Accepts Medicare180 mi
Nurse Practitioner
NPI 1285429647
275 SUMMERFIELD LN
Cordova, TN 38018
(901) 502-1634
✔ PECOS✔ Accepts Medicare183 mi
Nurse Practitioner
NPI 1548895535
184 S MAYO TRL
Pikeville, KY 41501
(606) 430-2213
✔ PECOS✔ Accepts Medicare252 mi
Nurse Practitioner
NPI 1932497674
1234 FRANKLIN RD SW
Roanoke, VA 24016
(540) 345-1561
✔ PECOS✔ Accepts Medicare387 mi
Nurse Practitioner
NPI 1518248699
200 HYGEIA DR
Newark, DE 19713
(302) 273-1701
✔ PECOS✔ Accepts Medicare653 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ultra Health Providers III LLC's NPI number?

The NPI number for Ultra Health Providers III LLC is 1366307696. It was assigned to this organization in the NPPES registry on December 18, 2025.

Where is Ultra Health Providers III LLC located?

Ultra Health Providers III LLC is located at 217 6th Ave N Ste 43952, Nashville, TN 37219. The listed phone number is (731) 394-1145.

What is Ultra Health Providers III LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Ultra Health Providers III LLC enrolled in Medicare?

Yes. Ultra Health Providers III LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ultra Health Providers III LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 2 Medicare specialties reassign their Medicare billing to Ultra Health Providers III LLC. 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. The largest specialties are Nurse Practitioner (18) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ultra Health Providers III LLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.