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CENTENNIAL NEUROSCIENCE LLC NPI 1104152859


NPI Information

NPI: 1104152859
Provider Name: CENTENNIAL NEUROSCIENCE, LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 44D1012797

Address:
2400 PATTERSON ST
SUITE 320
NASHVILLE, TN
ZIP 37203
Phone: (615) 342-6840
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CENTENNIAL NEUROSCIENCE, LLC is a neurology psychiatry neurology in Nashville, TN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CENTENNIAL NEUROSCIENCE, LLC NPI is 1104152859. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 PATTERSON ST
SUITE 320
NASHVILLE, TN
ZIP 37203-562
Phone: (615) 342-6840
Fax: (615) 342-6844

The provider's authorized official is Gary Duncan .
The authorized official title is Vp and has the following contact phone number (615) 372-5135.

The CLIA number assigned to this NPI record is 44D1012797 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2009 and was last updated on 10/4/2019.


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
22084N0400XPsychiatry & NeurologyNeurologyYes

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
14247885OTHERTENNESSEEBCBS
2DP8807OTHERTENNESSEERR MEDICARE
31515971MEDICAIDTENNESSEE

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

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