Organization
CAREBRIDGE MEDICAL GROUP
Active
Other names
Main Street Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA HENDERSON MD (CMO)
(615) 585-1181
Entity
Organization
Contact information
Practice address
501 GREAT CIRCLE RD FL 3, NASHVILLE, TN 37228-1317
(615) 436-9060
(615) 235-9725
Mailing address
501 GREAT CIRCLE RD FL 3, NASHVILLE, TN 37228-1317
(615) 436-9060
(615) 235-9725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131687
—
IA
05
—
108794900
—
FL
05
—
1124656616
—
MN
05
—
1124656616
—
VA
05
—
157006
—
AZ
05
—
201337990A
—
KS
05
—
422490901
—
TN
05
—
Q056232
—
TN
Enumeration date
03/30/2020
Last updated
05/14/2026
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