CENTERWELL SENIOR PRIMARY CARE-TUSCULUM - NPI 1649900135

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207R00000X.

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About Centerwell Senior Primary Care-tusculum NPPES

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

CENTERWELL SENIOR PRIMARY CARE-TUSCULUM (NPI 1649900135) is a healthcare organization registered as an internal medicine in Nashville, Tennessee and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through August 22, 2026 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1649900135

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE TN PC

Location Address4901 NOLENSVILLE PIKENashville, TN 37211-5411

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000

Phone(615) 575-3783

Fax(877) 259-8932

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateJune 16, 2022

Last NPPES UpdateJuly 3, 20243 updates tracked since enumeration

NPPES CertifiedJuly 3, 2024

✔ NPI 1649900135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

4901 NOLENSVILLE PIKE, Nashville, TN 37211

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Other Names 1

Doing Business AsCenterwell Senior Primary Care-tusculum

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

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 44D2267257

Centerwell Senior Primary Care-Tusculum · Nashville, TN

Active · expires Aug 22, 2026

CLIA Number44D2267257

Laboratory TypePhysician Office

Certificate Effective DateAugust 23, 2024

Certificate Expiration DateAugust 22, 2026

Laboratory DirectorErica Savage-Jeter

Laboratory Phone(615) 575-3783

Laboratory LocationCenterwell Senior Primary Care-Tusculum4901 Nolensville Pike, Nashville, TN 37211

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

KIDS HEALTH FIRST PEDIATRICS

Clinic/Center (Multi-Specialty)