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Contact Information

SKYLINE MEDICAL GROUP LLC
3443 DICKERSON PIKE
SUITE G-30
NASHVILLE, TN37207-2519
 Phone: 615-234-6390
 Fax: 615-234-6393
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Family

363LF0000X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SKYLINE MEDICAL GROUP LLC

NPI Number 1336154202
LBN Legal business name SKYLINE MEDICAL GROUP LLC
Authorized official JEFF RYDBURG - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2006
Last updated 10/31/2025 - About 7 months ago
Identifiers
TN Medicaid 3735178
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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