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LANDMARK MEDICAL OF TENNESSEE PC NPI 1396498143


NPI Information

NPI: 1396498143
Provider Name: LANDMARK MEDICAL OF TENNESSEE PC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 44D2257306

Address:
210 WESTWOOD PL STE 110
BRENTWOOD, TN
ZIP 37027
Phone: (657) 400-5180
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LANDMARK MEDICAL OF TENNESSEE PC is a general practice in Brentwood, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LANDMARK MEDICAL OF TENNESSEE PC NPI is 1396498143. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 WESTWOOD PL STE 110
BRENTWOOD, TN
ZIP 37027-554
Phone: (657) 400-5180

The provider's authorized official is Christopher Dennis .
The authorized official title is Chief Medical Officer and has the following contact phone number (657) 400-5180.

The CLIA number assigned to this NPI record is 44D2257306 - other - house call physican group with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2022 and was last updated on 1/30/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.