Provider Demographics
NPI:1124034574
Name:HEALTH CARE DEVELOPMENT PARTNERS, INC.
Entity Type:Organization
Organization Name:HEALTH CARE DEVELOPMENT PARTNERS, INC.
Other - Org Name:CLIFTON MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:615-298-3755
Mailing Address - Street 1:2000 GLEN ECHO RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2857
Mailing Address - Country:US
Mailing Address - Phone:615-298-3755
Mailing Address - Fax:615-298-4210
Practice Address - Street 1:133 MAIN STREET
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:TN
Practice Address - Zip Code:38425
Practice Address - Country:US
Practice Address - Phone:931-676-5539
Practice Address - Fax:931-676-5549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3725903Medicare ID - Type Unspecified
443941Medicare ID - Type Unspecified