CEDAR GROVE MEDICAL ASSOCIATES,LLC (NPI# 1558564021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558564021 |
| Entity Type | Organization |
| Organization Name | CEDAR GROVE MEDICAL ASSOCIATES,LLC |
| Practice Address |
301 Wolverine Trail Suite 100 Smyrna TN 37167 |
| Mailing Address |
Po Box 520 West Paducah KY 42086-0520 |
| Practice Telephone | 6154596700 |
| Practice Fax Number | 6154590068 |
| Mailing Telephone | 2707440404 |
| Mailing Fax Number | 2707440606 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | DR. JOHN DANIEL RUDD (OWNER) |
| Authorized Official Telephone | 6154596700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD0000012820 | TN | Other Service Providers |
| Street Address |
301 WOLVERINE TRAIL SUITE 100 |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013332790 | Lisa Sanchez | Specialist | 1955 Lake Park Dr Se, Suite 300, Smyrna, GA 30080-8858 | 2014-03-04 |
| 1801047493 | Smyrna Pain Consultants, P.C. | Specialist | 1450 Sam Davis Rd Ste 170, Smyrna, TN 37167-2737 | 2008-10-01 |
| 1336324839 | Douglas Smith | Specialist | 1520 Collier Pl Se, Smyrna, GA 30080-4400 | 2008-01-02 |
| 1871790410 | Psychiatric Medical Specialist of Atlanta | Specialist | 4015 S Cobb Dr Se Ste 10, Smyrna, GA 30080-6315 | 2007-06-28 |
| 1063614626 | Duane Taylor | Specialist | 5158 Afton Way Se, Smyrna, GA 30080-2669 | 2007-06-04 |
| 1083706071 | Seymour Solodar | Specialist | 4015 South Cobb Dr., Ste. 10, Smyrna, GA 30080 | 2006-09-28 |
| 1942259650 | Gina Elizabeth Hamrang | Specialist | 741 President Pl Ste 250, Smyrna, TN 37167-6812 | 2006-05-09 |
| 1316910615 | Priti Pandya | Specialist | 4441 Atlanta Rd Se Ste 204, Smyrna, GA 30080 | 2006-02-08 |
| 1225020639 | Martin I Goldstein | Specialist | 3001 S Cobb Dr Se, Suite 203, Smyrna, GA 30080-7809 | 2005-08-22 |
| 1922481514 | Mackkey Medical Associates | Specialist | 3200 Highlands Parkway, Suite 420, Smyrna, GA 30082 | 2015-07-01 |
| 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.