PETTY ADULT AND GERIATRIC CARE CLINIC LLC
NPI 1457530560
Clinic/Center in Lebanon, TN

Q: What is Petty Adult And Geriatric Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 25, 2007

1123 N CASTLE HEIGHTS AVE, SUITE H, LEBANON, TN 37087(615) 443-2273(615) 449-3111 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Petty Adult And Geriatric Care Clinic Llc NPPES

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

PETTY ADULT AND GERIATRIC CARE CLINIC LLC (NPI 1457530560) is a healthcare organization registered as a clinic/center in Lebanon, Tennessee and active in the NPI registry since October 2007. The organization lists Jennifer Ann Petty, Organizer, as its authorized official.

NPPES Registry Identity

NPI1457530560

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePETTY ADULT AND GERIATRIC CARE CLINIC LLC

Location Address1123 N CASTLE HEIGHTS AVE, SUITE HLebanon, TN 37087-5724

Mailing Address1123 N Castle Heights Ave, Suite HLebanon, TN 37087-5724 · (615) 443-2273 · Fax (615) 449-3111

Phone(615) 443-2273

Fax(615) 449-3111

Organization SubpartNo

Authorized OfficialJennifer Ann PettyOrganizer · (615) 443-2273

Enumeration DateOctober 25, 2007

Last NPPES UpdateOctober 7, 2008

✔ NPI 1457530560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in TN · 11466

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1123 N CASTLE HEIGHTS AVE, Lebanon, TN 37087

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Other Providers at the Same Location NPPES

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

MRS. TYROMA DENISE RIGSBY FNP

Nurse Practitioner (Psychiatric/Mental Health)

1123 N CASTLE HEIGHTS AVE
LEBANON, TN 37087

Wilson County (615) 449-4151

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 Petty Adult And Geriatric Care Clinic LLC's NPI number?

The NPI number for Petty Adult And Geriatric Care Clinic LLC is 1457530560. It was assigned to this organization in the NPPES registry on October 25, 2007.

Where is Petty Adult And Geriatric Care Clinic LLC located?

Petty Adult And Geriatric Care Clinic LLC is located at 1123 N Castle Heights Ave Suite H, Lebanon, TN 37087. The listed phone number is (615) 443-2273.

What is Petty Adult And Geriatric Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Petty Adult And Geriatric Care Clinic LLC was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.