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MATTER HEALTH OF TENNESSEE PLLC NPI 1467030908


NPI Information

NPI: 1467030908
Provider Name: MATTER HEALTH OF TENNESSEE, PLLC

Former Legal Business Name: MATTER HEALTH OF TENNESSEE, LLC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 44D2243508

Address:
1205 ROBINSON RD
OLD HICKORY, TN
ZIP 37138
Phone: (615) 306-0996
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MATTER HEALTH OF TENNESSEE, PLLC is a primary care clinic center in Old Hickory, TN. MATTER HEALTH OF TENNESSEE, PLLC NPI is 1467030908. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Matter Health Of Tennessee, Llc.

The provider's business location address is:

1205 ROBINSON RD
OLD HICKORY, TN
ZIP 37138-350
Phone: (615) 306-0996

The provider's authorized official is Mason Mercy .
The authorized official title is President and has the following contact phone number (615) 306-0996.

The CLIA number assigned to this NPI record is 44D2243508 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2021 and was last updated on 2/15/2024.


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
1261QP2300XClinic/CenterPrimary CareYes

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
1Q068591MEDICAIDTENNESSEE

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.