Genesis Palliative Care, PLLC
Nurse Practitioner in Brentwood, TN. Organization (NPI-2).
NPI number1902294549
StatusActive
Last updated in NPPESMay 9, 2018
Details
- NPI
- 1902294549
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Palliative Care, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2015
- Last updated
- May 9, 2018
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 |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Other names
- Advanced Care Group (Doing Business As)
Practice location
1642 Westgate Cir Ste 202Brentwood, TN 37027-8195
Phone 615-941-8550 · Fax 615-941-8507
Mailing address
1642 Westgate Cir Ste 202Brentwood, TN 37027-8195
Phone 615-941-8550 · Fax 615-941-8507
Authorized official
Robert L Forti
DO.,owner
6159418550
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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