Provider Demographics
NPI:1972347821
Name:NPS HEALTHCARE LLC
Entity type:Organization
Organization Name:NPS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:615-495-2890
Mailing Address - Street 1:278 FRANKLIN RD STE 320
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3302
Mailing Address - Country:US
Mailing Address - Phone:615-831-2291
Mailing Address - Fax:
Practice Address - Street 1:5360 ROBIN HOOD RD FL 2
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2422
Practice Address - Country:US
Practice Address - Phone:757-991-9008
Practice Address - Fax:866-531-4536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty