OrganizationActive
Petre-Jo LLC
NPI 1063876076 · Preferred Provider Organization · Madison, TN
Petre-Jo LLC is a Preferred Provider Organization organization in Madison, TN (NPI 1063876076).
Provider details
- NPI number
- 1063876076
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Parent organization
- Petre-Jo LLC
- Organization subpart
- Yes
- Authorized official
- Peter Konecny, Managing Member(931) 761-0410
- License
- L000000017166 (TN)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
607 W Due West Ave Ste 95
Madison, TN 37115-4415
Phone: (615) 982-8081
Street-level locationGet directions
Mailing address
858 Harbour Greens Pl
Sparta, TN 38583-4294
Registry dates
- Enumerated
- 2016-04-06
- Last updated
- 2016-04-06
Frequently asked questions
- What is Petre-Jo LLC's NPI number?
- Petre-Jo LLC's National Provider Identifier (NPI) is 1063876076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petre-Jo LLC?
- Petre-Jo LLC is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Petre-Jo LLC located?
- Petre-Jo LLC's practice location on file with NPPES is 607 W Due West Ave Ste 95, Madison, TN 37115-4415.
- What is Petre-Jo LLC's phone number?
- The practice phone number listed in the NPPES registry for Petre-Jo LLC is (615) 982-8081.
- Who is the authorized official for Petre-Jo LLC?
- The authorized official listed on Petre-Jo LLC's NPPES record is Peter Konecny, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petre-Jo LLC's NPI active?
- Yes — Petre-Jo LLC's NPI (1063876076) is active in the NPPES registry as of the last update on 2016-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.