Vanderbilt Coffee Hospital, LLC
Vanderbilt Coffee Hospital, LLC is a healthcare organization registered as Internal Medicine Physician in Tullahoma, TN, holding Type 2 (organization) NPI 1417543646 since 2020. The authorized official on file is Angela Simmons, Vp - Finance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417543646 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Vanderbilt Coffee Hospital, LLC |
| Practice address | 1801 N JACKSON ST, Tullahoma, TN, 37388 |
| Phone | 9313933000 |
| Enumeration date | 2020-12-11 |
| Last updated in NPPES | 2021-08-16 |
Authorized official
| Name | Angela Simmons |
|---|---|
| Title | Vp - Finance |
| Phone | 6159368875 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Secondary | — | — |
| 208M00000X | Hospitalist Physician | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Secondary | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | Secondary | — | — |
| 207X00000X | Orthopaedic Surgery Physician | Secondary | — | — |
| 208000000X | Pediatrics Physician | Secondary | — | — |
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Vanderbilt Coffee Hospital, LLC NPI: 1417543646 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 1801 N JACKSON ST, Tullahoma, TN, 37388
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1932195351 | Joel Birdwell | Individual | Diagnostic Radiology Physician | Tullahoma, TN |
| 1801873708 | Medical Imaging Consultants, PC | Organization | Diagnostic Radiology Physician | Tullahoma, TN |
| 1043283765 | Robbie Webb | Individual | Nurse Practitioner | Tullahoma, TN |
| 1982670683 | Byron Robison | Individual | Specialist | Tullahoma, TN |
| 1922052869 | Tullahoma Hma LLC | Organization | General Acute Care Hospital | Tullahoma, TN |
| 1912953688 | William Halstead | Individual | Emergency Medicine Physician | Tullahoma, TN |
| 1225084999 | Robert Doty | Individual | Emergency Medicine Physician | Tullahoma, TN |
| 1073554960 | Highland Rim Anesthesia, P.C. | Organization | Anesthesiology Physician | Tullahoma, TN |
Verify this record
Cross-check NPI 1417543646 against the authoritative CMS record: view Vanderbilt Coffee Hospital, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Vanderbilt Coffee Hospital, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-08-16.