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Petty Adult and Geriatric Care Clinic LLC

Clinic/Center in Lebanon, TN · enumerated 2007 · authorized official Jennifer Petty, Organizer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457530560

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Registry record

Entity type Organization (Type 2)
Legal business name Petty Adult and Geriatric Care Clinic LLC
Practice address 1123 N Castle Heights Ave, Suite H, Lebanon, TN, 37087
Fax (615) 449-3111
Enumeration date Oct 25, 2007
Last updated in NPPES Oct 7, 2008

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License 11466 (TN) Primary

Authorized official

Name Jennifer Petty
Title Organizer

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.

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Frequently asked questions

Where is Petty Adult and Geriatric Care Clinic LLC located?
The practice location on file with NPPES is in Lebanon, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-10-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-07.