Provider Demographics
NPI:1659541084
Name:JOHN W CAIN
Entity Type:Organization
Organization Name:JOHN W CAIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-369-6500
Mailing Address - Street 1:PO BOX 330147
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:615-369-6500
Mailing Address - Fax:
Practice Address - Street 1:2020 FIELDSTONE PKWY
Practice Address - Street 2:SUITE 900
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-4369
Practice Address - Country:US
Practice Address - Phone:615-369-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD016624273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3723124Medicaid
TNE50225Medicare UPIN
TN3723124Medicare PIN