Provider Demographics
NPI:1639314776
Name:MEHR, RACHEL BALLARD (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:BALLARD
Last Name:MEHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N STE 403
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-284-1450
Mailing Address - Fax:629-208-2691
Practice Address - Street 1:6130 NOLENSVILLE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6813
Practice Address - Country:US
Practice Address - Phone:615-284-1450
Practice Address - Fax:629-208-2691
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN0000045299207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00882588OtherRR MEDICARE
TN4270704OtherBLUE CROSS-BLUE SHIELD
TN1520359Medicaid
TN103I085056Medicare PIN