Healthcare Provider Details

I. General information

NPI: 1518309426
Provider Name (Legal Business Name): BURTON HILLS PRIMARY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2013
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2662 MEMORIAL BLVD
SPRINGFIELD TN
37172
US

IV. Provider business mailing address

30 BURTON HILLS BLVD SUITE 210
NASHVILLE TN
37215-6183
US

V. Phone/Fax

Practice location:
  • Phone: 615-380-8411
  • Fax: 615-301-6550
Mailing address:
  • Phone: 615-988-2000
  • Fax: 615-301-6550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN REEL
Title or Position: CONTROLLER
Credential:
Phone: 615-864-8709