Privia Medical Group Tennessee Llc | |
1 Vantage Way Ste C240 Nashville TN 37228-1580 | |
(571) 982-6636 | |
(240) 696-1353 |
Full Name | Privia Medical Group Tennessee Llc |
---|---|
Speciality | Family Medicine |
Location | 1 Vantage Way Ste C240, Nashville, Tennessee |
Authorized Official Name and Position | Mary Roller (ASSOCIATE DIRECTOR/ENROLLMENT) |
Authorized Official Contact | 7703125226 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Privia Medical Group Tennessee Llc 950 N Glebe Rd Ste 700 Arlington VA 22203-4173 Ph: (571) 982-6636 | Privia Medical Group Tennessee Llc 1 Vantage Way Ste C240 Nashville TN 37228-1580 Ph: (571) 982-6636 |
NPI Number | 1376110858 |
---|---|
Provider Enumeration Date | 06/04/2021 |
Last Update Date | 08/16/2022 |
Medicare PECOS PAC ID | 0547667552 |
---|---|
Medicare Enrollment ID | O20210917001131 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376110858 | NPI | - | NPPES |
Provider Name | Charles R Kaelin |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1861469017 PECOS PAC ID: 3375440340 Enrollment ID: I20031217000657 |
Provider Name | Julie C Stinson-reynolds |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598723645 PECOS PAC ID: 9739081100 Enrollment ID: I20040126000154 |
Provider Name | Walter E Stephens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205878220 PECOS PAC ID: 2769470855 Enrollment ID: I20040505001703 |
Provider Name | Tammy L Mcgee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497700132 PECOS PAC ID: 8628037629 Enrollment ID: I20041006000243 |
Provider Name | Frederick R Yarid |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508865205 PECOS PAC ID: 8820067028 Enrollment ID: I20041028001029 |
Provider Name | Adejoke F. Aina-babalola |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669556148 PECOS PAC ID: 8426013376 Enrollment ID: I20041119001020 |
Provider Name | Jessica M Ruffin |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1972514578 PECOS PAC ID: 8123085305 Enrollment ID: I20050221000189 |
Provider Name | Jason A Colinger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609829241 PECOS PAC ID: 6709820160 Enrollment ID: I20050616000151 |
Provider Name | Keith D Nord |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1033180948 PECOS PAC ID: 8921992835 Enrollment ID: I20051110000270 |
Provider Name | Rebecca A Walker |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1871642090 PECOS PAC ID: 9739199076 Enrollment ID: I20060504000014 |
Provider Name | Michael Lee Stack |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1316943301 PECOS PAC ID: 9032120829 Enrollment ID: I20060508000817 |
Provider Name | James E Seeley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568448736 PECOS PAC ID: 8224041298 Enrollment ID: I20060714000097 |
Provider Name | Jason Boylan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538116561 PECOS PAC ID: 3375546815 Enrollment ID: I20060822000608 |
Provider Name | Bryan D Chastain |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023019429 PECOS PAC ID: 4880683325 Enrollment ID: I20080424000747 |
Provider Name | Katie E Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023046794 PECOS PAC ID: 7618983701 Enrollment ID: I20081029000862 |
Provider Name | Bradley Dobner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427280221 PECOS PAC ID: 1759427693 Enrollment ID: I20091007000606 |
Provider Name | David Sparks |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033116488 PECOS PAC ID: 7911092432 Enrollment ID: I20100218000117 |
Provider Name | Sean B Kaminsky |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1528030541 PECOS PAC ID: 7113002742 Enrollment ID: I20100331000008 |
Provider Name | Marc A Mickiewicz |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1710074828 PECOS PAC ID: 3678601713 Enrollment ID: I20100511000052 |
Provider Name | Roger N Passmore |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1861482259 PECOS PAC ID: 9234216789 Enrollment ID: I20100629000462 |
Provider Name | Elizabeth S Meier |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649501008 PECOS PAC ID: 9931233285 Enrollment ID: I20100823000380 |
Provider Name | William Bradford Brock |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1023195807 PECOS PAC ID: 2163546151 Enrollment ID: I20100827000165 |
Provider Name | Jeffrey S Peterson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1669689949 PECOS PAC ID: 4880731017 Enrollment ID: I20100928000641 |
Provider Name | Shevonda T Sherrow |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1790701936 PECOS PAC ID: 4688679418 Enrollment ID: I20110809000017 |
Provider Name | Dawn L Bruni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730389743 PECOS PAC ID: 9234216136 Enrollment ID: I20120305000419 |
Provider Name | Jonathan B Geach |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1881871283 PECOS PAC ID: 4284768193 Enrollment ID: I20120529000209 |
Provider Name | Elizabeth A Jenkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346509767 PECOS PAC ID: 8729242805 Enrollment ID: I20120621000506 |
Provider Name | Thomas I Babcock |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1164579967 PECOS PAC ID: 8729156443 Enrollment ID: I20130723000177 |
Provider Name | William Evan Kelley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922448786 PECOS PAC ID: 8820231970 Enrollment ID: I20130821000678 |
Provider Name | Savita Fanta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750608113 PECOS PAC ID: 3971722083 Enrollment ID: I20140922001449 |
Provider Name | Maxwell Emery |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386043321 PECOS PAC ID: 3577783711 Enrollment ID: I20141009002502 |
Provider Name | Alexandra Lynn Roberts |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265844732 PECOS PAC ID: 6709007537 Enrollment ID: I20141021001040 |
Provider Name | Halle Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740610609 PECOS PAC ID: 5890011506 Enrollment ID: I20150223001726 |
Provider Name | Edmund D Hadley |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1871859819 PECOS PAC ID: 7012233968 Enrollment ID: I20150311002244 |
Provider Name | Sara Anne M Davidson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437539293 PECOS PAC ID: 9931412251 Enrollment ID: I20150715002413 |
Provider Name | Melissa Ann Chittum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548652548 PECOS PAC ID: 1759699341 Enrollment ID: I20150930003406 |
Provider Name | Jamie Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235518697 PECOS PAC ID: 5799085643 Enrollment ID: I20151124002547 |
Provider Name | Nicole Huffman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295108439 PECOS PAC ID: 2264735406 Enrollment ID: I20160122000724 |
Provider Name | Edward E Elliott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518412105 PECOS PAC ID: 3779871017 Enrollment ID: I20161019001603 |
Provider Name | Jennifer M Law |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780855395 PECOS PAC ID: 2769384775 Enrollment ID: I20161027001438 |
Provider Name | Angela L Barham |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538471164 PECOS PAC ID: 8628200755 Enrollment ID: I20170919002671 |
Provider Name | Sravani V Mehta |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1902127582 PECOS PAC ID: 5395967400 Enrollment ID: I20170921001656 |
Provider Name | Jennifer C Dyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194246876 PECOS PAC ID: 2163782160 Enrollment ID: I20180213001965 |
Provider Name | Ryan Edward Griesenauer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346773413 PECOS PAC ID: 3678820511 Enrollment ID: I20180723003477 |
Provider Name | Micah T Allison |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639651540 PECOS PAC ID: 0345584843 Enrollment ID: I20181211001589 |
Provider Name | Christopher James Moberg |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457804130 PECOS PAC ID: 1557609146 Enrollment ID: I20190206000937 |
Provider Name | Jennifer A Dubois |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629562277 PECOS PAC ID: 8325386147 Enrollment ID: I20190220001693 |
Provider Name | Anne A Sizemore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437624293 PECOS PAC ID: 6406195163 Enrollment ID: I20190225002781 |
Provider Name | David Neblett |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1720466741 PECOS PAC ID: 3375870355 Enrollment ID: I20190814000921 |
Provider Name | Jessica D Lane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124687785 PECOS PAC ID: 7416286547 Enrollment ID: I20190913002873 |
Provider Name | Josh Drew Lowry |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134441298 PECOS PAC ID: 1951632124 Enrollment ID: I20191021000188 |
Provider Name | Brett Koehn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669981080 PECOS PAC ID: 0042576266 Enrollment ID: I20200301000004 |
Provider Name | Rachel Wingers Cole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255974556 PECOS PAC ID: 0446680011 Enrollment ID: I20200422001339 |
Provider Name | Jeremy J Stojakovich |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487135281 PECOS PAC ID: 4183977960 Enrollment ID: I20200604001601 |
Provider Name | Meagan Lyn Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104433192 PECOS PAC ID: 5799105375 Enrollment ID: I20201020003736 |
Provider Name | Alicia C Lippard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881231074 PECOS PAC ID: 7113337072 Enrollment ID: I20201104000240 |
Provider Name | Taylor W Riley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700206422 PECOS PAC ID: 5698995371 Enrollment ID: I20201119000072 |
Provider Name | Keaton Allmaras |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659972479 PECOS PAC ID: 7315359759 Enrollment ID: I20201209001164 |
Provider Name | Joshua Hartless |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316588320 PECOS PAC ID: 4688086846 Enrollment ID: I20201210003177 |
Provider Name | Lauren Elizabeth Williams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538642178 PECOS PAC ID: 3971916016 Enrollment ID: I20210108000653 |
Provider Name | Chariti Black |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487164901 PECOS PAC ID: 7113331638 Enrollment ID: I20210125001574 |
Provider Name | Ashlan Snyder |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003418567 PECOS PAC ID: 0749694123 Enrollment ID: I20210126001752 |
Provider Name | Julie Simpkins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770101339 PECOS PAC ID: 7012324791 Enrollment ID: I20210324002552 |
Provider Name | Tiffany La Com |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740838580 PECOS PAC ID: 3274941778 Enrollment ID: I20210422001000 |
Provider Name | Kaitlyn Connor Matheney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689242463 PECOS PAC ID: 4284030073 Enrollment ID: I20210901004281 |
Provider Name | Leanne M Reagan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336810381 PECOS PAC ID: 2769871128 Enrollment ID: I20211105001658 |
Provider Name | Melissa Malley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679636146 PECOS PAC ID: 7214028836 Enrollment ID: I20211130001177 |
Provider Name | Cami Elizabeth Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497413074 PECOS PAC ID: 4587058318 Enrollment ID: I20220222000068 |
Provider Name | Holland Jones |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396491817 PECOS PAC ID: 6608262753 Enrollment ID: I20220330000517 |
Provider Name | Calvin Reed Fesler |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1285169136 PECOS PAC ID: 0840679379 Enrollment ID: I20220614000499 |
Provider Name | Kyndall Petry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134875842 PECOS PAC ID: 7113301623 Enrollment ID: I20220901001885 |
Provider Name | Kennedi Louth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427703594 PECOS PAC ID: 6507240801 Enrollment ID: I20220906002530 |
Provider Name | Maddison Blair Murray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053873083 PECOS PAC ID: 3476920612 Enrollment ID: I20221101002288 |
Provider Name | Robert Victor Peck |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780350223 PECOS PAC ID: 9436554797 Enrollment ID: I20230103001529 |
Provider Name | Graylin Clare Benusches |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821722968 PECOS PAC ID: 7012387277 Enrollment ID: I20230104000792 |
Provider Name | Margaux Guysinger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093486797 PECOS PAC ID: 7214334465 Enrollment ID: I20230510002750 |
Provider Name | Stuart Cox |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134540735 PECOS PAC ID: 2365730637 Enrollment ID: I20230530002053 |
Provider Name | Caroline Berry |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1770284846 PECOS PAC ID: 8022475268 Enrollment ID: I20230605000421 |
Provider Name | Amanda Dee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295479350 PECOS PAC ID: 0547648115 Enrollment ID: I20230711002787 |
Provider Name | Qumara Hill-smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871906024 PECOS PAC ID: 5597987594 Enrollment ID: I20230824003689 |
Provider Name | Fernando Porter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669785770 PECOS PAC ID: 0941435986 Enrollment ID: I20230831003908 |
Provider Name | Mary Elizabeth Butts |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1982260758 PECOS PAC ID: 0547624074 Enrollment ID: I20230915001962 |
Provider Name | Ethan Cole Adams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174093090 PECOS PAC ID: 7315287083 Enrollment ID: I20231012000828 |
Provider Name | Christina Schrack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861891566 PECOS PAC ID: 5092024711 Enrollment ID: I20231031001441 |
Provider Name | Melanie Lieblang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508392952 PECOS PAC ID: 2365714995 Enrollment ID: I20231103002933 |
Provider Name | Katherine J Flaugh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619458221 PECOS PAC ID: 5698008316 Enrollment ID: I20231110000909 |
Provider Name | Shishir Kumar Khetan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861497372 PECOS PAC ID: 9335199017 Enrollment ID: I20231113003277 |
Provider Name | Johnie Staton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114665528 PECOS PAC ID: 5597144493 Enrollment ID: I20240530001057 |
The Upper Cervical Spine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 White Bridge Pike, Nashville, TN 37205 Phone: 615-953-7406 | |
Mid Tn Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3413 Nolensville Pike, Nashville, TN 37211 Phone: 615-569-4067 | |
Quality Healthcare Group Of Middle Tn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 12th Ave S, Suite 5, Nashville, TN 37203 Phone: 615-291-6700 | |
H. Douglas Holliday Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4230 Harding Rd, Ste. 530 Heart Institute, Nashville, TN 37205 Phone: 615-297-6006 Fax: 615-298-6778 | |
Sterling Primary Care Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2400 Patterson Street, Suite 500, Nashville, TN 37203 Phone: 615-327-7400 Fax: 615-327-4818 | |
Clinica Hispana La Paz Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4053 Nolensville Rd, Nashville, TN 37211 Phone: 615-627-1282 | |
Wavery Belmont Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 12th Ave S, Nashville, TN 37203 Phone: 615-269-3461 Fax: 615-383-1950 |