OrganizationActive
Petty Adult and Geriatric Care Clinic LLC
NPI 1457530560 · Clinic/Center · Lebanon, TN
Petty Adult and Geriatric Care Clinic LLC is a Clinic/Center organization in Lebanon, TN (NPI 1457530560).
Provider details
- NPI number
- 1457530560
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Petty, Organizer(615) 443-2273
- License
- 11466 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1123 N Castle Heights Ave
Suite H
Lebanon, TN 37087-5724
Phone: (615) 443-2273
Fax: (615) 449-3111
Approximate (ZIP-level) locationGet directions
Mailing address
1123 N Castle Heights Ave
Lebanon, TN 37087-5724
Registry dates
- Enumerated
- 2007-10-25
- Last updated
- 2008-10-07
Frequently asked questions
- What is Petty Adult and Geriatric Care Clinic LLC's NPI number?
- Petty Adult and Geriatric Care Clinic LLC's National Provider Identifier (NPI) is 1457530560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petty Adult and Geriatric Care Clinic LLC?
- Petty Adult and Geriatric Care Clinic LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Petty Adult and Geriatric Care Clinic LLC located?
- Petty Adult and Geriatric Care Clinic LLC's practice location on file with NPPES is 1123 N Castle Heights Ave, Lebanon, TN 37087-5724.
- What is Petty Adult and Geriatric Care Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Petty Adult and Geriatric Care Clinic LLC is (615) 443-2273.
- Who is the authorized official for Petty Adult and Geriatric Care Clinic LLC?
- The authorized official listed on Petty Adult and Geriatric Care Clinic LLC's NPPES record is Jennifer Petty, Organizer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petty Adult and Geriatric Care Clinic LLC's NPI active?
- Yes — Petty Adult and Geriatric Care Clinic LLC's NPI (1457530560) is active in the NPPES registry as of the last update on 2008-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.