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Department of Intellectual and Developmental Disabilities, State of Tn

NPI 1972124618ActiveOrganization· Exclusive Provider Organization· Nashville, TN

Exclusive Provider Organization in Nashville, Tennessee, registered in NPPES in May 2020, part of Department of Intellectual and Developmental Disabilities, State of Tn. The authorized official on file is Andy Kidd, Deputy Commissioner.

Overview

NPI1972124618
StatusActive
Entity typeOrganization (subpart)
Parent organizationDepartment of Intellectual and Developmental Disabilities, State of Tn
NPI issuedMay 5, 2020
Last updated in NPPESMay 5, 2020
Certified by providerMay 5, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Exclusive Provider Organization Primary302F00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Exclusive Provider Organization providers in Nashville

All 23 Exclusive Provider Organization providers in Nashville · All Exclusive Provider Organization providers in Tennessee