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VANDERBILT INTEGRATED INTERNAL MEDICINE CEDAR LANE
NPI 1891573473
Clinic/Center - Rural Health in Tullahoma, TN

Active since September 15, 2023CLIA 44D2145980 · Waiver
1330 CEDAR LN STE 100, TULLAHOMA, TN 37388(931) 393-3366(931) 393-1065 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vanderbilt Integrated Internal Medicine Cedar Lane NPPES

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

VANDERBILT INTEGRATED INTERNAL MEDICINE CEDAR LANE (NPI 1891573473) is a healthcare organization registered as a rural health in Tullahoma, Tennessee and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Wendy Monaci, Vice President, as its authorized official.

NPPES Registry Identity

NPI1891573473
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameVANDERBILT INTEGRATED PROVIDERS, LLC
Location Address1330 CEDAR LN STE 100Tullahoma, TN 37388-2284
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(931) 393-3366
Fax(931) 393-1065
Organization SubpartNo
Authorized OfficialWendy MonaciVice President · (615) 936-3944
Enumeration DateSeptember 15, 2023
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1891573473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1330 CEDAR LN STE 100, Tullahoma, TN 37388
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Other Names 1

Doing Business AsVanderbilt Integrated Internal Medicine Cedar Lane

Other Identifiers 1

MedicaidQ92330TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D2145980

Vanderbilt Intergrated Providers, LLC Dba Vanderbilt Intergrated Internal Med Cedar Lane · Tullahoma, TN
Active · expires Mar 19, 2028
CLIA Number44D2145980
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorRimda Gupta
Laboratory Phone(931) 393-3366
Laboratory LocationVanderbilt Intergrated Providers, LLC Dba Vanderbilt Intergrated Internal Med Cedar Lane1330 Cedar Lane, Suite 100, Tullahoma, TN 37388
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SHELBYVILLE HOSPITAL COMPANY LLC
Clinic/Center (Rural Health)
1330 CEDAR LN STE 100
TULLAHOMA, TN 37388
Coffee County (931) 393-3366

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 Vanderbilt Integrated Providers, LLC's NPI number?

The NPI number for Vanderbilt Integrated Providers, LLC is 1891573473. It was assigned to this organization in the NPPES registry on September 15, 2023. The provider is doing business as Vanderbilt Integrated Internal Medicine Cedar Lane.

Where is Vanderbilt Integrated Providers, LLC located?

Vanderbilt Integrated Providers, LLC is located at 1330 Cedar Ln Ste 100, Tullahoma, TN 37388. The listed phone number is (931) 393-3366.

What is Vanderbilt Integrated Providers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Vanderbilt Integrated Providers, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2145980) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vanderbilt Integrated Providers, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Vanderbilt Integrated Providers, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vanderbilt Integrated Providers, LLC was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.