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

Charles Alexander Logan

Individual provider Family Nurse Practitioner · NPI 1609416148

Charles Alexander Logan is a Nurse Practitioner in Nashville, Tennessee. Qualified in 2019, 7 years ago. Practices with Elite Sports Medicine and Orthopaedic Center PLC, a 89-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2020
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Practice location Address checks out

2004 Hayes St
Nashville, TN 37203-2646
Phone: (613) 324-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 27028 (TN)

Record details

NPI number1609416148
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Elite Sports Medicine And Orthopaedic Center Plc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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