MEDICARE: ELDERBERRY HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1568286656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDERBERRY HEALTH PLLC

Provider Business Mailing Address
First Line	:	PO BOX 23736
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37202-3736
Country	:	US
Telephone Number	:	629-289-3136
Fax Number	:	423-569-4909

Provider Business Practice Location Address
First Line	:	106 DUKE STREET
Second Line	:
City	:	ASHLAND CITY
State	:	TN
Zip	:	37015-3784
Country	:	US
Telephone Number	:	423-569-3762
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. PETER MICHAEL LITCHFIELD
Credential	:
Telephone Number	:	629-289-3136

Provider Enumeration Date	:	11/14/2024
Last Update Date	:	11/06/2025

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