Medworx
Clinic/Center in Hermitage, TN. Organization (NPI-2).
NPI number1780205013
StatusActive
Last updated in NPPESJan 3, 2023
Details
- NPI
- 1780205013
- Entity type
- Organization (NPI-2)
- Legal business name
- Medworx
- Organization subpart
- No
- Enumeration date
- Apr 28, 2020
- Certification date
- Dec 26, 2022
- Last updated
- Jan 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
4822 Old Hickory BlvdHermitage, TN 37076-2502
Phone 865-406-1465
Mailing address
4822 Old Hickory BlvdHermitage, TN 37076-2502
Phone 615-467-5590
Authorized official
Jason West
Director
6154675590
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