TCMC MADISON-PORTLAND, INC. (NPI# 1013957968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013957968 |
| Entity Type | Organization |
| Organization Name | TCMC MADISON-PORTLAND, INC. |
| Other Organization Name | TENNESSEE CHRISTIAN MEDICAL CENTER |
| Practice Address |
500 Hospital Dr Madison TN 37115-5031 |
| Mailing Address |
Po Box 277464 Atlanta GA 30384-7464 |
| Practice Telephone | 6158650300 |
| Practice Fax Number | 6158606447 |
| Mailing Telephone | 6158650300 |
| Mailing Fax Number | 6158606447 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENISSA MORGAN (CFO) |
| Authorized Official Telephone | 6157697262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TNCARE SELECT (REHAB) | 4055853 | 01 |
| Other Name | Type Code |
|---|---|
| TENNESSEE CHRISTIAN MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467495796 | Tcmc Madison-portland, Inc. | General Acute Care Hospital | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-14 |
| 1376586602 | Tcmc Madison-portland, Inc. | Rehabilitation Unit | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-14 |
| 1245271741 | Tcmc Madison-portland, Inc. | Psychiatric Unit | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-08 |
| Street Address |
500 HOSPITAL DR |
| City | MADISON |
| State | TN |
| Zip Code | 37115-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087635 | Timothy Andrew Clouse | Social Worker | 500 Hospital Dr, Madison, TN 37115-5031 | 2020-03-09 |
| 1912316589 | Valarie Harris | Counselor | 500 Hospital Dr, Madison, TN 37115-5031 | 2014-08-07 |
| 1881985497 | Joseph Vasant Pandit | Pharmacist | 500 Hospital Dr, Madison, TN 37115-5031 | 2011-04-29 |
| 1033436050 | Lindsay Kishanna Evans-mitchell | Psychiatry & Neurology | 500 Hospital Dr, Madison, TN 37115-5031 | 2010-04-29 |
| 1679771240 | Old Hickory Emergency Physicians | Emergency Medicine | 500 Hospital Dr, Madison, TN 37115-5031 | 2007-07-05 |
| 1710086699 | Mary Alice Erlewine | Physical Therapy Assistant | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-09-21 |
| 1467495796 | Tcmc Madison-portland, Inc. | General Acute Care Hospital | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-14 |
| 1376586602 | Tcmc Madison-portland, Inc. | Rehabilitation Unit | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-14 |
| 1245271741 | Tcmc Madison-portland, Inc. | Psychiatric Unit | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-08 |
| 1114968526 | Hti Memorial Hospital Corporation | Psychiatric Unit | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790720985 | University of Wisconsin Hospitals and Clinics Authority | Rehabilitation Unit | 600 Highland Ave, Madison, WI 53792-0001 | 2006-06-19 |
| 1376586602 | Tcmc Madison-portland, Inc. | Rehabilitation Unit | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029390 | Jackson Madison County General Hospital | Rehabilitation Unit | 620 Skyline Drive, Jackson, TN 38301-3901 | 2005-10-28 |
| 1629675319 | Premier Physical Therapy Consulting | Rehabilitation Unit | 751b Lynwood Ave, Nashville, TN 37203-5029 | 2020-10-06 |
| 1043824279 | Methodist Healthcare East Hospital | Rehabilitation Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1720642523 | Vanderbilt University Medical Center | Rehabilitation Unit | 500 Park Ave, Lebanon, TN 37087-3721 | 2019-04-26 |
| 1598296691 | Memphis Va Medical Center | Rehabilitation Unit | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2017-03-21 |
| 1710368220 | Saint Thomas River Park Hospital, LLC | Rehabilitation Unit | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-06-11 |
| 1336520840 | Saint Thomas Stones River Hospital, LLC | Rehabilitation Unit | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2015-06-11 |
| 1093124521 | Rchp Montana LLC | Rehabilitation Unit | 103 Continental Pl, Suite 200, Brentwood, TN 37027-1041 | 2014-08-08 |
| 1316379738 | Hca Health Services of Tennessee, Inc. | Rehabilitation Unit | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2013-08-08 |
| 1457640922 | Hca Health Services of Tennessee, Inc. | Rehabilitation Unit | 391 Wallace Rd, Nashville, TN 37211-4851 | 2011-04-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.