Healthcare Provider Details

I. General information

NPI: 1033036793
Provider Name (Legal Business Name): MEDLOGIC BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

992 DAVIDSON DR STE B
NASHVILLE TN
37205-1051
US

IV. Provider business mailing address

PO BOX 11003
NASHVILLE TN
37222
US

V. Phone/Fax

Practice location:
  • Phone: 615-696-9900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JC SMITH
Title or Position: MANAGER
Credential:
Phone: 615-686-8331