NORTHCREST PHYSICIAN SERVICES INC NPI 1356561856

NPI Information

  • NPI: 1356561856
  • Provider Name: NORTHCREST PHYSICIAN SERVICES INC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 44D0702058
  • Address: 417 NORTHCREST DR
    430 NORTHCREST DR
    SPRINGFIELD, TN
    ZIP 37172
  • Phone: (615) 382-5710

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NPI Details

NORTHCREST PHYSICIAN SERVICES INC is an internal medicine in Springfield, 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. NORTHCREST PHYSICIAN SERVICES INC NPI is 1356561856. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

417 NORTHCREST DR
430 NORTHCREST DR
SPRINGFIELD, TN
ZIP 37172-973
Phone: (615) 382-5710
Fax: (615) 382-5776

The provider's authorized official is Jerlyn S Davis .
The authorized official title is Biller and has the following contact phone number (615) 382-5710.

The CLIA number assigned to this NPI record is 44D0702058 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 10/28/2008.

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
1207Q00000XFamily Medicine24985TENNESSEENo
2207R00000XInternal Medicine31309TENNESSEENo
3207X00000XOrthopaedic Surgery37667TENNESSEENo
4207X00000XOrthopaedic Surgery31565TENNESSEENo
5207R00000XInternal MedicineMD6465TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERTENNESSEETAX IDENTIFICATION EIN
23709970OTHERTENNESSEEMEDICARE GROUP NUMBER
33848225MEDICARE PINTENNESSEE
43371051MEDICARE PINTENNESSEE
53841365MEDICARE PINTENNESSEE
63371051OTHERTENNESSEEMEDICARE GROUP NUMBER
73884852MEDICARE PINTENNESSEE
83081844MEDICARE PINTENNESSEE
93709970MEDICARE PINTENNESSEE
103709979OTHERTENNESSEEMEDICARE GROUP NUMBER
113709979MEDICARE PINTENNESSEE
123806531MEDICARE PINTENNESSEE

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: 11/21/2025

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