OrganizationActive
Path Medical Group LLC
NPI 1164241006 · Addiction Medicine (Family Medicine) Physician · Madison, TN
Provider details
- NPI number
- 1164241006
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenia Kane, Office Manager(561) 860-1478
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1994 Gallatin Pike N
Madison, TN 37115-2026
Phone: (561) 860-1478
Approximate (ZIP-level) locationGet directions
Mailing address
1994 Gallatin Pike N
Madison, TN 37115-2026
Registry dates
- Enumerated
- 2024-10-08
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.