360 INTEGRATED CARE PC – NPI #1366108102
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Health Care Provider Taxonomy Code for Internal Medicine

360 INTEGRATED CARE PC is a provider located in MADISON, TN. NPPES has assigned the NPI number 1366108102 to 360 INTEGRATED CARE PC on November 16, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 360 INTEGRATED CARE PC below.

NPI Profile for
360 INTEGRATED CARE PC

NPI Number
1366108102
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
360 INTEGRATED CARE PC
Primary location
1210 BRIARVILLE RD.
BLDG B
MADISON, TN 37115
Phone: (615) 868-8612 Fax: (615) 860-4510
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS MILLER
PRESIDENT/OWNER
Phone: (615) 868-8612
Updated
Certification Date
Nov 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0401X
- Internal Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.