Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Petty Adult and Geriatric Care Clinic LLC

Organization Clinic/Center · NPI 1457530560

Petty Adult and Geriatric Care Clinic LLC is a Clinic/Center in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1123 N Castle Heights Ave Ste H
Lebanon, TN 37087-5724
Phone: (615) 443-2273
Fax: (615) 449-3111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 11466 (TN)

Record details

NPI number1457530560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Petty — Organizer · (615) 443-2273
NPI enumeratedOctober 25, 2007
Last updated in NPPESOctober 7, 2008
Mailing address1123 N Castle Heights Ave, Suite H, Lebanon, TN 37087-5724

Other providers in Lebanon