Main Street Medical Group

LBN: Carebridge Medical Group
Main Street Medical Group is an health care organization with primary practice located at 926 Main St , Nashville TN 37206-3614. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Carebridge Medical Group can be contacted via phone (615) 436-9060, or through Henderson, Melinda via phone (615) 585-1181.

Contact Information

Primary practice address
926 Main St Nashville TN 37206-3614
Phone: (615) 436-9060
Fax: (615) 235-9725
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Melinda Doctor of Medicine (MD)
Phone: (615) 585-1181

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1124656616
LBN Legal business name Carebridge Medical Group
DBA Doing business as Main Street Medical Group
Authorized official Henderson, Melinda Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2020
Last updated May 3rd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124656616 NPPES
Tennessee MEDICAID Q056232
Tennessee MEDICAID 157006
Tennessee MEDICAID 108794900
Tennessee MEDICAID 1124656616
Tennessee MEDICAID 1124656616
Tennessee MEDICAID 201337990A
Tennessee MEDICAID 422490901
Tennessee MEDICAID 0131687

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