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Organization
PEDIATRIX MEDICAL GROUP OF TENNESSEE, P.C.
Active
Organization
PEDIATRIX MEDICAL GROUP OF TENNESSEE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ASHFORD (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
2221 MURPHY AVE, NASHVILLE, TN 37203-1825
(615) 342-1000
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2088P0231X
Pediatric Urology Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3718100
—
TN
05
—
65940041
—
KY
Enumeration date
09/17/2006
Last updated
02/27/2025
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