Gethsemane Cardiovascular Clinic PLLC
NPI 1356652200ActiveOrganization· Internal Medicine, Cardiovascular Disease· Murfreesboro, TN
Internal Medicine, Cardiovascular Disease in Murfreesboro, Tennessee, registered in NPPES in June 2010. The authorized official on file is Vanessa Jackson, Admin. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356652200 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2010 |
| Last updated in NPPES | Jun 25, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 38872 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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