KNOLLS PLACE MEDICAL CLINIC
NPI 1508130428
Clinic/Center in Nashville, TN
About Knolls Place Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KNOLLS PLACE MEDICAL CLINIC (NPI 1508130428) is a healthcare organization registered as a clinic/center in Nashville, Tennessee and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through September 3, 2028 and lists Songmin Cai, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Knolls Place Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Knolls Place Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Nashville, TN 37211
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 44D2037155
Knolls Place Medical Clinic · Nashville, 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 Knolls Place Medical Clinic's NPI number?
The NPI number for Knolls Place Medical Clinic is 1508130428. It was assigned to this organization in the NPPES registry on February 24, 2012.
Where is Knolls Place Medical Clinic located?
Knolls Place Medical Clinic is located at 10 Knolls Pl, Nashville, TN 37211. The listed phone number is (615) 457-1265.
What is Knolls Place Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Knolls Place Medical Clinic enrolled in Medicare?
Yes. Knolls Place Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Knolls Place Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Knolls Place Medical Clinic, in Internal Medicine 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Knolls Place Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2037155) is associated with this NPI, valid through September 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Knolls Place Medical Clinic was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Knolls Place Medical Clinic · NPI 1508130428
Clinic/Center organization in Nashville, Tennessee. Organization record, active in the CMS NPPES registry since February 24, 2012.
## Identity
- **NPI:** 1508130428 (Entity type: Organization)
- **Enumerated:** February 24, 2012
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Songmin Cai, OWNER
## Practice location
- **Address:** 10 KNOLLS PL, Nashville, TN 37211-7410
- **Phone:** (615) 457-1265 · **Fax:** (615) 457-1326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508130428) · Data from the CMS NPPES public registry.