Healthcare Provider Details

I. General information

NPI: 1821519257
Provider Name (Legal Business Name): PHOTIOS MICHAEL FRANK VASSILYADI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2017
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 CAROTHERS PKWY STE 104
FRANKLIN TN
37067-6024
US

IV. Provider business mailing address

5050 CAROTHERS PKWY STE 104
FRANKLIN TN
37067-6024
US

V. Phone/Fax

Practice location:
  • Phone: 615-669-5073
  • Fax:
Mailing address:
  • Phone: 615-669-5073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number60958
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: