HOPEWAYS PLLC - NPI NUMBER 1346480571

Summary

Provider Name: HOPEWAYS PLLC

NPI Number: 1346480571

Clasification: Psychiatry & Neurology (2084A0401X)

Specialization: Addiction Medicine

Address:
1881 GENERAL GEORGE PATTON DR
107
FRANKLIN, TN
ZIP 37067

Phone Number: (615) 829-5700



Detailed Information

HOPEWAYS PLLC is an addiction medicine psychiatrist in Franklin, TN. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine The assigned NPI number for this provider is 1346480571 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

1881 GENERAL GEORGE PATTON DR
107
FRANKLIN, TN
ZIP 37067-606
Phone: (615) 829-5700
Fax: (615) 661-4357

The provider's authorized official is Christopher Dull .
The authorized official title is Owner/physician and has the following contact phone number (615) 829-5700.

The enumeration date for this NPI number is 2/27/2009 and was last updated on 1/28/2014.

Map - Location of Practice

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Taxonomy Codes

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
1 2084A0401X Psychiatry & Neurology Addiction Medicine No
2 1041C0700X Social Worker Clinical No
3 363LA2200X Nurse Practitioner Adult Health No
4 207RA0401X Internal Medicine Addiction Medicine Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 103G797528 MEDICARE PIN TN
2 1512405 MEDICAID TN

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1346480571 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name HOPEWAYS PLLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 1881 GENERAL GEORGE PATTON DR The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Second Line Business Practice Location Address 107 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name FRANKLIN The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name TN The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 370674606 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 6158295700 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 6156614357 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 2/27/2009 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 1/28/2014 The date that a record was last updated or changed.
15 Authorized Official Last Name DULL The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name CHRISTOPHER The first name of the authorized official.
17 Authorized Official Title or Position OWNER/PHYSICIAN The title or position of the authorized official.
18 Authorized Official Telephone Number 6158295700 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 2084A0401X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Healthcare Provider Primary Taxonomy Switch 1 N
21 Healthcare Provider Taxonomy Code 2 1041C0700X
22 Healthcare Provider Primary Taxonomy Switch 2 N
23 Healthcare Provider Taxonomy Code 3 363LA2200X
24 Healthcare Provider Primary Taxonomy Switch 3 N
25 Healthcare Provider Taxonomy Code 4 207RA0401X
26 Healthcare Provider Primary Taxonomy Switch 4 Y
27 Other Provider Identifier 1 103G797528 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier Type Code 1 08 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier State 1 TN
30 Other Provider Identifier 2 1512405 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
31 Other Provider Identifier Type Code 2 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
32 Other Provider Identifier State 2 TN
33 Is Organization Subpart N
34 Authorized Official Name Prefix Text DR.
35 Authorized Official Name Suffix Text SR.
36 Authorized Official Credential Text MD
37 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP
38 Healthcare Provider Taxonomy Group 2 193200000X MULTI-SPECIALTY GROUP
39 Healthcare Provider Taxonomy Group 3 193200000X MULTI-SPECIALTY GROUP
40 Healthcare Provider Taxonomy Group 4 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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