Provider Demographics
NPI:1558751339
Name:AMERICA'S TELEMD LLC
Entity Type:Organization
Organization Name:AMERICA'S TELEMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIFFANY
Authorized Official - Middle Name:JANESE
Authorized Official - Last Name:PEGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-863-4567
Mailing Address - Street 1:5606 CLOVERLAND DR
Mailing Address - Street 2:UNIT 110
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4876
Mailing Address - Country:US
Mailing Address - Phone:615-862-3467
Mailing Address - Fax:
Practice Address - Street 1:5606 CLOVERLAND DR
Practice Address - Street 2:UNIT 110
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4876
Practice Address - Country:US
Practice Address - Phone:615-862-3467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-30
Last Update Date:2017-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45672207RG0300X
TN49998207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty