Provider Type Icon

SELF CENTERED WEIGHT LOSS AND WELLNESS OF MURFREESBORO PLLC NPI 1518270115


NPI Information

NPI: 1518270115
Provider Name: SELF CENTERED WEIGHT LOSS AND WELLNESS OF MURFREESBORO, PLLC

Doing Business As: MITCHELL FAMILY CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1211 LEAF AVE STE 102
MURFREESBORO, TN
ZIP 37130
Phone: (615) 849-7777
Get Directions

SELF CENTERED WEIGHT LOSS AND WELLNESS OF MURFREESBORO, PLLC is an internal medicine in Murfreesboro, TN. The provider is 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. SELF CENTERED WEIGHT LOSS AND WELLNESS OF MURFREESBORO, PLLC NPI is 1518270115. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mitchell Family Clinic.

The provider's business location address is:

1211 LEAF AVE STE 102
MURFREESBORO, TN
ZIP 37130-642
Phone: (615) 849-7777
Fax: (615) 849-7753

The provider's authorized official is Amanda J Smith .
The authorized official title is Office Manager and has the following contact phone number (615) 849-7777.

The enumeration date for this NPI number is 7/23/2010 and was last updated on 3/4/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11518270115OTHERTENNESSEEGROUP NPI NUMBER
23499953MEDICAIDTENNESSEE

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: 4/28/2024

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.