{
"Npi": {
"NPI": "1730130436",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TENNESSEE ONCOLOGY PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 440100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NASHVILLE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37244-0100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "615-329-0570",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "660 S MOUNT JULIET RD STE 230",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MT JULIET",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37122-3923",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "615-874-9667",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/15/2006",
"LastUpdateDate": "04/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DOUGLAS",
"AuthorizedOfficialFirstName": "PATTIE",
"AuthorizedOfficialMiddleName": "Y",
"AuthorizedOfficialTitle": "PAYER RELATIONS MGR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "615-514-6876",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QP1100X",
"TaxonomyName": "Podiatric Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}