LEE DAVID MOCKRIN (NPI# 1053305664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053305664 |
| Entity Type | Individual |
| Full Name | LEE DAVID MOCKRIN |
| Credential | MD |
| Practice Address |
515 Stonecrest Pkwy Suite 150 Smyrna TN 37167-6826 |
| Mailing Address |
310 25th Ave N Ste 201 Nashville TN 37203-1515 |
| Practice Telephone | 6152231350 |
| Practice Fax Number | 6152231351 |
| Mailing Telephone | 6153331440 |
| Mailing Fax Number | 6153339639 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2011-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD35505 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PALMETTO GBA | 370019110 | 01 | |
| TN | 3867471 | 05 |
| Street Address |
515 STONECREST PKWY SUITE 150 |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700243102 | Middle Tennessee Oral & Maxillofacial Surgery | Dentist | 515 Stonecrest Pkwy, Suite 240, Smyrna, TN 37167-6826 | 2016-01-15 |
| 1225454788 | Erin Wolf Michelier | Physical Therapist | 515 Stonecrest Pkwy, Ste.120, Smyrna, TN 37167-6826 | 2014-03-07 |
| 1962824482 | Platinum Medical Group | Internal Medicine | 515 Stonecrest Pkwy, Suite 230, Smyrna, TN 37167-6826 | 2014-01-17 |
| 1598101792 | Kyle Todd | Physical Therapist | 515 Stonecrest Pkwy, Ste 120, Smyrna, TN 37167-6826 | 2013-05-14 |
| 1215282025 | Mitali Nanda | Pediatrics | 515 Stonecrest Pkwy, Suite 150, Smyrna, TN 37167-6826 | 2012-07-17 |
| 1568763761 | Emily Burn | Physical Therapist | 515 Stonecrest Pkwy, Suite 120, Smyrna, TN 37167-6826 | 2010-11-04 |
| 1639493380 | Tracy L. Carter | Nurse Practitioner | 515 Stonecrest Pkwy, Suite 150, Smyrna, TN 37167-6826 | 2010-03-24 |
| 1275864571 | Sleep Center of Hermitage, Pllc | Internal Medicine | 515 Stonecrest Pkwy, Suite 200, Smyrna, TN 37167-6826 | 2010-01-26 |
| 1194973651 | Kimberly B Morris | Physical Therapist | 515 Stonecrest Pkwy, Suite 120, Smyrna, TN 37167-6826 | 2008-09-08 |
| 1508051426 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 515 Stonecrest Pkwy, Smyrna, TN 37167-6826 | 2007-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083189377 | Rachel Ames | Pediatrics | 537 Stonecrest Pkwy Ste 201, Smyrna, TN 37167-6895 | 2018-10-12 |
| 1992183271 | Smyrna Pediatrics Pllc | Pediatrics | 611 Potomac Pl, Suite 103, Smyrna, TN 37167-5655 | 2015-05-07 |
| 1467781690 | Grace Pediatrics Pllc | Pediatrics | 1335 Rock Springs Road, Smyrna, TN 37167-6108 | 2009-12-17 |
| 1740418557 | Ijeoma Cecilia Anyanwu | Pediatrics | 4579 S Cobb Dr Se Ste 300, Smyrna, GA 30080-6389 | 2009-06-30 |
| 1134361728 | Melissa Nicole Harrison Boekhaus | Pediatrics | 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080-6906 | 2009-03-30 |
| 1285779967 | Cynthia Colquhoun | Pediatrics | 4441 Atlanta Rd Se Ste 201, Smyrna, GA 30080 | 2007-02-21 |
| 1770634586 | Beatrice U Von Zeschau Wilder | Pediatrics | 1060 Windy Hill Rd, Suite 200, Smyrna, GA 30080-2065 | 2007-01-16 |
| 1770674152 | Aixa I Silvera-schwartz | Pediatrics | 562 Concord Road Se, Smyrna, GA 30082 | 2006-09-28 |
| 1679581433 | Tennessee Medicine & Pediatrics PC | Pediatrics | 741 President Place, Suite 200, Smyrna, TN 37167 | 2006-08-04 |
| 1265497812 | Mohammed Waris | Pediatrics | 3001 S Cobb Dr Se Ste 107, Smyrna, GA 30080-7821 | 2006-04-18 |
| Find all providers in SMYRNA | ||||
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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.