About Aetna Select Provider Directories

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About Aetna Select Provider Directories The facilities listed in this directory are Aetna Select List providers. Cost increases for outpatient services can have a dramatic effect on a member s out-of-pocket costs for certain services. Using Select facilities can help control out-of-pocket costs. In some cases, the difference in cost between accessing care from a Select facility versus a non-select facility may be as high as 40 percent (according to Aetna claims data). Centers for diagnostic radiology procedures, sleep centers, urgent care centers or walk-in clinics, ambulatory surgery centers and dialysis centers may all be designated as Select facilities. To determine which providers are designated for the Select List, we first calculate the amounts we paid for services (including professional expenses) associated with specific procedures at each participating facility in the market, using the most recent twelve (12) months of completed data. In performing this calculation we do exclude those outliers that may inappropriately skew the data. Once we have the average amount paid for each procedure, we determine a market average for each service and then compare each facility to the market average. Finally, we calculate a weighted average of these relative market averages to generate an overall cost comparison of each facility. The Select List includes those facilities whose overall weighted average falls at or below the overall weighted average for all of the facilities in the market, as well as those facilities necessary for business reasons. The Select List is not an evaluation of the quality of the facility; the Select List is only an evaluation of the relative cost to the plan for services provided by that facility. If Aetna members use non-select providers, they may have higher out-of-pocket costs. We evaluate and update our list of Select facilities and services every six months. All patient care and related decisions are the responsibility of the physician and patient, and this information should not dictate or control clinical judgment regarding the appropriate treatment of any individual patient.

Aetna "Select Provider" Directory - Low-Tech Radiology CHEATHAM COUNTY Ashland City Centennial Medical Center at Ashland City-HCA Affl 6531615, 4 6453 313 North Main Street Ashland City, TN 37015 Phone: 615-792-3030 8531959, 2 773132 313 North Main Street Ashland City, TN 37076 Phone: 615-792-3030 Fax: 615-320-3259 DAVIDSON COUNTY Hermitage 8531525, 4 42667 5655 Frist Blvd. Hermitage Imaging Center 5920343, 6 900975 5045 Old Hickory Blvd. Phone: 615-884-7674 Fax: 615-884-2696 8531959, 4 42667 5655 Frist Blvd. Phone: 615-316-3000 Fax: 615-316-3149 Summit Imaging Center 7777706, 7 777706 3901 Central Pike Phone: 615-316-3000 Hours: 7-7 M-F; 8-12 Sat Svcs: US, BD, M Summit Medical Center - HCA 6530120, 4 42667 5655 Frist Blvd. Phone: 615-316-3000 Fax: 615-316-4912 Madison 8531525, 9 5041 500 Hospital Drive Skyline Madison Campus-HCA 6530495, 9 5041 500 Hospital Drive Phone: 615-865-2373 Nashville 8531525, 8 541349 3441 Dickerson Pike Nashville, TN 37207 8531525, 9 302529 28 White Bridge Road Suite 104 Phone: 615-356-3999 Fax: 615-353-0462 Baptist Hospital 6530665, 2 20228 2000 Church Street Nashville, TN 37236 Phone: 615-284-5555 Fax: 615-284-1420 Centennial Medical Center - HCA 6530725, 4 63821 2300 Patterson Street Phone: 615-342-1000 Fax: 615-342-1045 Diagnostic Health, Nashville 5529469, 2 66771 337 22nd Avenue North Phone: 615-327-1500 Fax: 615-327-1421 Diagnostic Imaging, Inc. 8531450, 8 341803 510 Recovery Road Suite 200 Phone: 615-331-9373 8531959, 4 63821 2300 Patterson Street Fax: 615-320-3250 8531959, 3 202198 4525 Harding Road Suite 102 Phone: 615-463-3034 Fax: 615-463-3187 8531959, 4 653179 2000 Church Street Nashville, TN 37238 8531959, 5 621102 4220 Harding Road 8531959, 5 761502 4230 Harding Road Suite 530 Fax: 615-320-3250 8531959, 6 633149 2201 Murphy Avenue Suite 203 Nashville, TN 37232 Phone: 615-342-6700 8531959, 7 852626 222 22nd Avenue Fax: 615-320-3250 8531959, 8 051356 210 25th Avenue North Suite 602 Fax: 615-320-3259 Saint Thomas Hospital 6530710, 1 14644 4220 Harding Road Phone: 615-222-2111 Fax: 615-222-6502 Skyline Medical Center - HCA 6530695, 8 541349 3441 Dickerson Pike Nashville, TN 37207 Phone: 615-769-2000 Fax: 615-865-9092 Southern Hills Medical Center - HCA 6530705, 1 38486 391 Wallace Road Phone: 615-781-4000 Fax: 615-781-4113 DEKALB COUNTY Smithville DeKalb Community Hospital 6530940, 1 60677 520 West Main Street Smithville, TN 37166 Phone: 615-597-7171 DICKSON COUNTY Dickson Horizon Medical Center - HCA 6530255, 2 65951 111 Hwy. 70 East Dickson, TN 37055 Phone: 615-446-0446 Fax: 615-441-2514 LAWRENCE COUNTY Lawrenceburg Advanced Imaging Service 7879131, 3 911635 715 Douglas Drive Lawrenceburg, TN 38464 Phone: 931-766-1918 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography

Aetna "Select Provider" Directory - Low-Tech Radiology MONTGOMERY COUNTY Clarksville Clarksville Imaging Center, LLC 7895339, 5 961704 2320 Wilma Rudolph Blvd. Clarksville, TN 37040 Phone: 931-245-6736 Fax: 931-245-6738 Radiology Associates of Clarksville, PC 8531999, 1 40968 1771 Madison Street Phone: 931-647-5034 RUTHERFORD COUNTY Murfreesboro Murfreesboro Diagnostic Imaging 7647606, 6 251601 1020 North Highland Avenue Suite A Phone: 615-896-1234 Fax: 615-896-7171 Premier Mobile Health, Inc. 7231551, 3 312972 1461 Haynes Drive` Murfreesboro, TN 37129 Phone: 615-494-5141 Fax: 615-907-5925 Radiology & Diagnostics, P.L.C. 7939423, 1 780241 1102 Dow Street Phone: 615-896-3737 Fax: 615-896-3772 The Imaging Center of Murfreesboro 4616198, 9 250560 1001 North Highland Avenue Phone: 615-890-8999 Fax: 615-893-6812 Smyrna Diagnostic Imaging, Inc. 8531450, 5 782548 200 Stone Crest Blvd. Phone: 615-331-9373 Middle TN Imaging 7119636, 2 601964 741 President Place Phone: 615-220-0674 Fax: 615-355-4349 Hours: 8-5 M-F Svcs: X, BD StoneCrest Medical Center - HCA 7604508, 2 911924 200 StoneCrest Blvd. Phone: 615-768-2000 SUMNER COUNTY Hendersonville 8531525, 1 60583 355 New Shackle Island Road Hendersonville Medical Center - HCA 6530555, 1 60583 355 New Shackle Island Road Phone: 615-264-4000 Fax: 615-264-4281 Portland Portland Medical Center-HCA 6530290, 1 60508 105 Redbud Drive Portland, TN 37148 Phone: 615-325-7301 WARREN COUNTY Mc Minnville River Park Hospital 6530520, 4 550464 1559 Sparta Street Mc Minnville, TN 37110 Phone: 931-815-4000 Fax: 931-815-4710 WILLIAMSON COUNTY Franklin 8531525, 2 820378 2021 Carothers Road Franklin, TN 37064 Cool Springs Interventional, PLLC 9515124, 4 283181 3310 Aspen Grove Drive Phone: 615-771-8274 Physicians Plaza Imaging of Cool Springs, PLC 7390879, 8 792901 740 Cool Springs Blvd. Suite 110 Phone: 615-778-1774 Fax: 615-550-2150 7390879, 9 553055 4155 Carothers Pkwy. Phone: 615-904-0455 WILSON COUNTY Lebanon 8531959, 1 60558 1411 Baddour Pkwy. Phone: 615-443-2581 Fax: 615-443-2508 8531959, 7 073214 100 Physicians Way Lebanon, TN 37090 Phone: 615-449-1000 Summit Imaging at Lebanon 7777705, 7 777705 100 Physicians Way, Lebanon, TN 37076 Phone: 615-695-7229 Hours: 8-4:30 M-F; Sat 8-12 Svcs: X, FL, US, BD, M Mt. Juliet River Radiology, LLC 7197796, 3 842601 5002 Crossings Circle Mt. Juliet, TN 37122 Phone: 615-444-2320 Fax: 615-449-3163 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography

Aetna "Select Provider" Directory - High-Tech Radiology CHEATHAM COUNTY Ashland City Centennial Medical Center at Ashland City-HCA Affl 6531615, 4 6453 313 North Main Street Ashland City, TN 37015 Phone: 615-792-3030 8531959, 2 773132 313 North Main Street Ashland City, TN 37076 Phone: 615-792-3030 Fax: 615-320-3259 DAVIDSON COUNTY Hermitage 8531525, 4 42667 5655 Frist Blvd. Hermitage Imaging Center 5920343, 6 900975 5045 Old Hickory Blvd. Phone: 615-884-7674 Fax: 615-884-2696 8531959, 4 42667 5655 Frist Blvd. Phone: 615-316-3000 Fax: 615-316-3149 Summit Imaging Center 7777706, 7 777706 3901 Central Pike Phone: 615-316-3000 Hours: 7-7 M-F; 8-12 Sat Svcs: MR, OMR, CNM, CT Summit Medical Center - HCA 6530120, 4 42667 5655 Frist Blvd. Phone: 615-316-3000 Fax: 615-316-4912 Madison 8531525, 9 5041 500 Hospital Drive Skyline Madison Campus-HCA 6530495, 9 5041 500 Hospital Drive Phone: 615-865-0300 Nashville 3T NeuroImaging 7980634, 9 72986 167 Charleston Park Phone: 615-463-3034 Fax: 615-463-3187 8531525, 8 541349 3441 Dickerson Pike Nashville, TN 37207 8531525, 9 302529 28 White Bridge Road Suite 104 Phone: 615-356-3999 Fax: 615-353-0462 BioImaging At Charlotte 7077028, 4 7901 1800 Charlotte Avenue Phone: 615-329-4840 Fax: 615-846-0859 BioImaging At Harding 4562479, 9 291400 11 Harding Mall Drive Phone: 615-832-9551 Fax: 615-832-1621 Centennial Medical Center - HCA 6530725, 4 63821 2300 Patterson Street Phone: 615-342-1000 Fax: 615-342-1045 Diagnostic Health, Nashville 5529469, 2 66771 337 22nd Avenue North Phone: 615-327-1500 Fax: 615-327-1421 Diagnostic Imaging, Inc. 8531450, 8 341803 510 Recovery Road Suite 200 Phone: 615-331-9373 Imaging Alliance-Nashville Pet, LLC 7285528, 7 661911 52 White Bridge Road Phone: 615-354-1255 Fax: 615-354-9806 Premier Radiology 7999034, 8 370126 28 White Bridge Road Suite 111 Phone: 615-356-3999 Fax: 615-353-0462 8531959, 4 63821 2300 Patterson Street Fax: 615-320-3250 8531959, 3 202198 4525 Harding Road Suite 102 Phone: 615-463-3034 Fax: 615-463-3187 8531959, 4 653179 2000 Church Street Nashville, TN 37238 8531959, 5 621102 4220 Harding Road 8531959, 5 761502 4230 Harding Road Suite 530 Fax: 615-320-3250 8531959, 6 633149 2201 Murphy Avenue Suite 203 Nashville, TN 37232 Phone: 615-342-6700 8531959, 7 852626 222 22nd Avenue Fax: 615-320-3250 8531959, 8 051356 210 25th Avenue North Suite 602 Fax: 615-320-3259 Skyline Medical Center - HCA 6530695, 8 541349 3441 Dickerson Pike Nashville, TN 37207 Phone: 615-769-2000 Fax: 615-865-9092 Southern Hills Medical Center - HCA 6530705, 1 38486 391 Wallace Road Phone: 615-781-4000 Fax: 615-781-4113 DICKSON COUNTY Dickson Horizon Medical Center - HCA 6530255, 2 65951 111 Hwy. 70 East Dickson, TN 37055 Phone: 615-446-0446 Fax: 615-441-2514 MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography

Aetna "Select Provider" Directory - High-Tech Radiology MAURY COUNTY Columbia Tennessee Imaging Alliance 7024673, 4 6469 1407 Hatcher Lane Columbia, TN 38401 Phone: 931-388-2848 Fax: 931-388-2858 MONTGOMERY COUNTY Clarksville Clarksville Imaging Center, LLC 7895339, 5 961704 2320 Wilma Rudolph Blvd. Clarksville, TN 37040 Phone: 931-245-6736 Fax: 931-245-6738 Gateway Medical Center 6530205, 1 40968 1771 Madison Street Phone: 931-552-6622 6530205, 2 503309 651 Dunlop Lane Clarksville, TN 37040 Phone: 931-552-6622 ROBERTSON COUNTY Springfield NorthCrest Medical Center 6530835, 4 340134 100 Northcrest Drive Springfield, TN 37172 Phone: 615-384-2411 Fax: 615-384-1509 Springfield Radiology Associates, PC 7916327, 4 340134 100 Northcrest Drive Springfield, TN 37172 Phone: 931-647-5034 RUTHERFORD COUNTY Murfreesboro Diagnostic Outpatient Center, Inc. 5786002, 2 481703 428 East Bell Street Phone: 615-895-9995 Murfreesboro Diagnostic Imaging 7647606, 6 251601 1020 North Highland Avenue Suite A Phone: 615-896-1234 Fax: 615-896-7171 Radiology & Diagnostics, P.L.C. 7939423, 1 780241 1102 Dow Street Phone: 615-896-3737 Fax: 615-896-3772 Tennessee Pet Scan Center, LLC 7392563, 9 992079 1020 North Highland Avenue Suite B Phone: 615-896-1234 Fax: 615-896-7171 The Imaging Center of Murfreesboro 4616198, 9 250560 1001 North Highland Avenue Phone: 615-890-8999 Fax: 615-893-6812 Smyrna Diagnostic Imaging, Inc. 8531450, 5 782548 200 Stone Crest Blvd. Phone: 615-331-9373 Middle TN Imaging 7119636, 2 601964 741 President Place Phone: 615-220-0674 Fax: 615-355-4349 Hours: 8-5 M-F Svcs: MR, OMR, CT StoneCrest Medical Center - HCA 7604508, 2 911924 200 StoneCrest Blvd. Phone: 615-768-2000 SUMNER COUNTY Hendersonville 8531525, 1 60583 355 New Shackle Island Road Hendersonville Medical Center - HCA 6530555, 1 60583 355 New Shackle Island Road Phone: 615-264-4000 Fax: 615-264-4281 Portland Portland Medical Center-HCA 6530290, 1 60508 105 Redbud Drive Portland, TN 37148 Phone: 615-325-7301 WARREN COUNTY Mc Minnville River Park Hospital 6530520, 4 550464 1559 Sparta Street Mc Minnville, TN 37110 Phone: 931-815-4000 Fax: 931-815-4710 WILLIAMSON COUNTY Franklin 8531525, 2 820378 2021 Carothers Road Franklin, TN 37064 BioImaging of Cool Springs, Inc. 7416315, 1 081699 3310 Aspen Grove Drive Suite 101 Phone: 615-771-0171 Fax: 615-832-1621 Physicians Plaza Imaging of Cool Springs, PLC 7390879, 8 792901 740 Cool Springs Blvd. Suite 110 Phone: 615-778-1774 Fax: 615-550-2150 7390879, 9 553055 4155 Carothers Pkwy. Phone: 615-904-0455 WILSON COUNTY Lebanon 8531959, 1 60558 1411 Baddour Pkwy. Phone: 615-443-2581 Fax: 615-443-2508 8531959, 7 073214 100 Physicians Way Lebanon, TN 37090 Phone: 615-449-1000 Summit Imaging at Lebanon 7777705, 7 777705 100 Physicians Way, Lebanon, TN 37076 Phone: 615-695-7229 Hours: 8-4:30 M-F; Sat 8-12 Svcs: CT Mt. Juliet River Radiology, LLC 7197796, 3 842601 5002 Crossings Circle Mt. Juliet, TN 37122 Phone: 615-444-2320 Fax: 615-449-3163 MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography

Aetna "Select Provider" Directory - High-Tech Radiology Tennessee Imaging Alliance 7024673, 7 462194 2628 North Mt. Juliet Road Mt. Juliet, TN 37122 Phone: 502-477-1815 MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography

Aetna "Select Provider" Directory - Sleep Studies COFFEE COUNTY Manchester Medical Center of Manchester 4332233, 7 310197 481 Interstate Drive Manchester, TN 37355 Phone: 931-728-6354 DAVIDSON COUNTY Hermitage Hermitage Sleep Center 7451756, 4 932705 5045 Old Hickory Blvd. Suite 105 Phone: 615-884-7950 Fax: 615-884-7920 Nashville Center for Sleep 7279835, 4 472836 300 20th Avenue North Suite G2 Nashville, TN 37236 Phone: 615-284-7537 Fax: 615-284-6025 Sleep Care Solutions Nashville, LLC 7214914, 4 992920 2508 Elm Hill Pike. Suite 138 Nashville, TN 37214 Phone: 615-329-2288 WILLIAMSON COUNTY Brentwood American Sleep Medicine 7344835, 5 171782 115 East Park Drive Suite 150 Brentwood, TN 37027 Phone: 615-373-1550 Fax: 615-343-1565 Franklin Dream Away Sleep Labs, LLC 7741504, 2 451904 3326 Aspen Grove Drive Suite 260 Phone: 615-771-5126 Fax: 615-771-5149 WILSON COUNTY Lebanon Cumberland Sleep Consultant 7504584, 1 761909 304 Hill Street Phone: 615-453-6228 Fax: 615-453-6230 Tennessee Sleep Centers 7174478, 5 150752 28 White Bridge Road Suite 110 Phone: 615-425-0371 Fax: 615-425-0375 LINCOLN COUNTY Fayetteville Lincoln Medical Center 6530285, 8 061570 106 Medical Center Blvd. Fayetteville, TN 37334 Phone: 931-438-1100 MONTGOMERY COUNTY Clarksville Gateway Medical Center 6530205, 1 40968 1771 Madison Street Phone: 931-552-6622 6530205, 2 503309 651 Dunlop Lane Clarksville, TN 37040 Phone: 931-552-6622

Aetna "Select Provider" Directory - Urgent Care Center DAVIDSON COUNTY Madison Concentra Health Services Inc. 7045888, 9 783152 1719 Gallatin Road Phone: 615-870-0143 Tennessee Urgent Care Associates, LLC 8532251, 3 323186 1616 Gallatin Pike North Phone: 615-865-8500 Fax: 615-860-8061 Nashville Concentra Health Services Inc. 7045888, 2 303230 2531 Elm Hill Pike Nashville, TN 37214 Phone: 615-883-6995 7045888, 5 663277 4300 Sidco Drive Nashville, TN 37204 Phone: 615-837-4360 7045888, 6 693112 342 21st Avenue North Phone: 615-321-5698 Stone Urgent Care and Occupational Medicine 7442443, 9 662638 3708D Nolensville Road Phone: 615-315-0037 Tennessee Urgent Care Associates, LLC 8532251, 1 26515 339 White Bridge Road Nashville, TN 37209 Phone: 615-356-6877 Fax: 615-356-8270 8532251, 2 223070 2510 Murfreesboro Road Nashville, TN 37217 Phone: 615-399-6898 Fax: 615-399-6901 LAWRENCE COUNTY Lawrenceburg Express Med, LLC 7517822, 6 402810 1276 First Avenue Lawrenceburg, TN 38464 Phone: 931-766-7056 Fax: 931-766-7057 Loretto Express Med, LLC 7517822, 6 602783 536 North Military Street Loretto, TN 38469 Phone: 931-766-7056 Fax: 931-766-7057 MONTGOMERY COUNTY Clarksville DoctorsCare 7403392, 5 961704 2320 Wilma Rudolph Blvd. Clarksville, TN 37040 Phone: 931-645-1564 Fax: 931-645-3842 RUTHERFORD COUNTY Murfreesboro Concentra Health Services Inc. 7045888, 4 583231 1203A Memorial Blvd. Murfreesboro, TN 37129 Phone: 615-895-4855 Universal Urgent Care Center 7073456, 5 961828 905 South Church Street Phone: 615-904-9200 Fax: 615-904-0330 Smyrna Tennessee Urgent Care Associates, LLC 8532251, 5 64547 1332 Hazelwood Drive Phone: 615-355-1338 Fax: 615-459-2851 SUMNER COUNTY Gallatin Gallatin Urgent Care, PC 7819016, 2 990565 728 Nashville Pike Gallatin, TN 37066 Phone: 615-452-6899 WILSON COUNTY Lebanon The Doctor's Office, P.L.L.C 7930656, 6 141968 1430 Baddour Pkwy. Phone: 615-453-3645 7930656, 7 481739 1420 Baddour Pkwy. Phone: 615-453-3645 Mt. Juliet Middle Tennessee Urgent Care & Occupational Medici 7450853, 2 092615 5002 Crossing Circle Mt. Juliet, TN 37122 Phone: 615-553-5500 Fax: 615-553-5501

Aetna "Select Provider" Directory - Walk In Clinic DAVIDSON COUNTY Antioch 7782841, 5 943105 2788 Murfreesboro Road Antioch, TN 37013 Hermitage 7782841, 2 252611 4402 Lebanon Road Take Care Health Tennessee, 9993079, 7 22952 400 Tulip Grove Road Madison 7782841, 9 842580 1200 Gallatin Road South Nashville 7782841, 1 063021 7112 Highway 70 South Nashville, TN 37221 Fax: 612-659-7101 7782841, 2 952560 3801 Hillsboro Road Nashville, TN 37215 7782841, 4 722808 426 21st Avenue South 7782841, 6 033015 735 Harding Place Fax: 612-659-7101 Take Care Health Tennessee, 9993079, 1 503345 518 Donelson Pike Nashville, TN 37214 9993079, 3 363150 3500 Gallatin Pike Nashville, TN 37216 9993079, 4 243368 7601 Hwy. 70 South Nashville, TN 37221 9993079, 5 303184 5555 Edmondson Pike MONTGOMERY COUNTY Clarksville Take Care Health Tennessee, 9993079, 5 423329 1954 Madison Street RUTHERFORD COUNTY La Vergne Take Care Health Tennessee, 9993079, 8 763071 5000 Murfreesboro Road La Vergne, TN 37086 Murfreesboro 7782841, 2 732970 1331 Memorial Blvd. Murfreesboro, TN 37129 Take Care Health Tennessee, 9993079, 8 103003 2401 Old Fort Pkwy. Murfreesboro, TN 37128 Smyrna 7782841, 7 793143 14299 Old Nashville Hwy. Fax: 612-659-7101 Take Care Health Tennessee, 9993079, 3 963062 400 Sam Ridley Pkwy. West SUMNER COUNTY Gallatin Take Care Health Tennessee, 9993079, 9 613081 585 Nashville Pike Gallatin, TN 37066 Hendersonville 7782841, 6 262541 100 Glen Oaks Blvd. Take Care Health Tennessee, 9993079, 9 883020 198 East Main Street WILLIAMSON COUNTY Brentwood 7782841, 7 152578 302 Franklin Road Brentwood, TN 37027 Franklin 7782841, 4 182578 1154 Liberty Pike 7782841, 6 123019 9101 Carothers Pkwy. Fax: 612-225-1590 7782841, 8 713021 101 Farrier Lane Franklin, TN 37064 Take Care Health Tennessee, 9993079, 5 553041 1509 Murfreesboro Road 9993079, 9 413023 9100 Carothers Pkwy. Thompsons Station 7782841, 4 423116 4805 Columbia Pike Thompsons Station, TN 37179 Fax: 612-659-7101

WILSON COUNTY Lebanon Summit Convenient Care at Lebanon, LLC 9356168, 2 103193 100 Physicians Way Suite 110 Lebanon, TN 37090 Phone: 615-449-1100 Fax: 615-449-1150 Take Care Health Tennessee, 9993079, 2 922933 1303 West Main Street The Doctor's Office, PLLC 7816376, 6 141968 1430 Baddour Parkway Suite A Phone: 615-453-3645 Mt. Juliet Middle Tennessee Urgent Care & Occupational Medicine 7450853, 2 092615 5002 Crossing Circle Mt. Juliet, TN 37122 Phone: 615-553-5500 Fax: 615-553-5501 Aetna "Select Provider" Directory - Walk In Clinic

Aetna "Select Provider" Directory - Ambulatory Surgery CHEATHAM COUNTY Ashland City Centennial Medical Center at Ashland City-HCA Affl 6531615, 4 6453 313 North Main Street Ashland City, TN 37015 Phone: 615-792-3030 COFFEE COUNTY Manchester Medical Center of Manchester 4332233, 7 310197 481 Interstate Drive Manchester, TN 37355 Phone: 931-728-6354 Tullahoma Crown Surgery Center, L.L.C. 9207124, 7 440659 1956 North Jackson Street Tullahoma, TN 37388 Phone: 931-455-8255 DAVIDSON COUNTY Antioch Tennessee Pain Surgery Center 7934480, 3 951826 5811 Crossing Blvd. Antioch, TN 37013 Phone: 615-941-4820 Goodlettsville The Nashville TN Ophthalmology ASC, LLC 7644442, 8 011683 907 Rivergate Pkwy. Suite C2020 Goodlettsville, TN 37072 Phone: 615-889-3937 Fax: 615-859-3919 Hermitage Associated Endoscopy Ambulatory Surgery Center 5105698, 4 811015 5651 Frist Blvd. Suite 307 Phone: 615-885-1093 Fax: 615-885-2274 Summit Medical Center - HCA 6530120, 4 42667 5655 Frist Blvd. Phone: 615-316-3000 Fax: 615-316-4912 Summit Surgery Center - HCA 7007018, 8 672129 3901 Central Pike Suite 152 Phone: 615-391-7200 Madison American Endoscopy Center, 7181830, 6 202088 1308 Briarville Road Phone: 615-868-3131 Fax: 615-515-0205 Northridge Surgery Center 5107021, 5 81889 647 Myatt Drive Phone: 615-868-8942 Fax: 615-860-3820 Nashville Baptist Ambulatory Surgery Center, Inc. 5851648, 7 721181 312 21st Avenue North Nashville, TN 37236 Phone: 615-321-7330 Centennial Medical Center - HCA 6530725, 4 63821 2300 Patterson Street Phone: 615-342-1000 Fax: 615-342-1045 Centennial Surgery Center - HCA 8531580, 2 331971 345 23rd Avenue North Suite 201 Phone: 615-327-1123 Digestive Disease Endoscopy Center 8532352, 3 950714 222-22nd Avenue North Suite 300 Phone: 615-340-4629 8532352, 4 653277 222 22nd Avenue North Phone: 615-340-4629 Eye Surgery Center of Nashville, L.L.C 4639071, 6 003111 310 25th Avenue North Suite 205 Phone: 615-329-9023 Fax: 615-329-1665 Gurley Surgery Center 7367735, 5 880214 300 20th Avenue North Suite 102 Phone: 615-284-1500 Fax: 615-284-1501 Mid-State Endoscopy Center 8532316, 2 78545 2010 Church Street Suite 420 Phone: 615-329-2141 Nashville Endoscopy Center 4562043, 2 42631 300 20th Avenue North 8th Floor Phone: 615-284-1400 Nashville Gastrointestinal Endoscopy Center 8531635, 9 221812 4230 Harding Pike Suite 309W Phone: 615-383-0165 Oral Facial Surgery Center, Inc. 8531725, 1 45991 322 22nd Avenue North Phone: 615-321-6161 Fax: 615-327-9612 Premier Orthopaedic Surgery Center 7915602, 2 502127 394 Harding Place Phone: 615-332-3600 Fax: 615-332-3630 Skyline Medical Center - HCA 6530695, 8 541349 3441 Dickerson Pike Nashville, TN 37207 Phone: 615-769-2000 Fax: 615-865-9092 Southern Hills Medical Center - HCA 6530705, 1 38486 391 Wallace Road Phone: 615-781-4000 Fax: 615-781-4113 St. Thomas Medical Group Endoscopy Center 8531240, 4 6467 4230 Harding Road Suite 400 Phone: 615-297-2700 Fax: 615-297-9825 The Center For Assisted Reproductive Technologies 5530392, 6 503141 2410 Patterson Street Suite 401 Phone: 615-321-8899 Fax: 615-321-8877

Aetna "Select Provider" Directory - Ambulatory Surgery The Center for Spinal Surgery 7725025, 1 880986 2011 Murphy Avenue Phone: 615-284-2970 The Endoscopy Center of Centennial, L.P. 8531898, 5 15223 2400 Patterson Street Suite 515 Phone: 615-327-2111 Fax: 615-329-9292 Urology Surgery Center, L.P. 8531025, 8 991608 2801 Charlotte Avenue Nashville, TN 37209 Phone: 615-329-7700 Wesley Surgery Center 4601079, 6 131380 250 25th Avenue North Suite 213 Phone: 615-329-3624 DICKSON COUNTY Dickson Horizon Medical Center - HCA 6530255, 2 65951 111 Hwy. 70 East Dickson, TN 37055 Phone: 615-446-0446 Fax: 615-441-2514 LINCOLN COUNTY Fayetteville Lincoln Medical Center 6530285, 8 061570 106 Medical Center Blvd. Fayetteville, TN 37334 Phone: 931-438-1100 Fax: 931-438-7456 MONTGOMERY COUNTY Clarksville Clarksville Endoscopy Center 5618193, 4 36481 132 Hillcrest Drive Phone: 615-552-0180 Gateway Medical Center 6530205, 1 40968 1771 Madison Street Phone: 931-552-6622 6530205, 2 503309 651 Dunlop Lane Clarksville, TN 37040 Phone: 931-552-6622 GI Specialists of Clarksville PC 7950212, 5 751417 280 Warfield Blvd. Phone: 931-551-9605 Fax: 931-503-0386 Healthsouth Surgery Center of Clarksville 4544396, 4 51962 121 Hillcrest Drive Phone: 931-552-9992 Fax: 931-648-1816 RUTHERFORD COUNTY Murfreesboro Middle Tennessee Ambulatory Surgery Center 7465002, 2 831145 503 East Bell Street Phone: 615-849-7500 Fax: 615-907-4020 7465002, 4 993292 1800 Medical Center Pkwy. Murfreesboro, TN 37129 Phone: 615-849-7500 Surgicenter of Murfreesboro Medical Clinic 8531085, 4 6626 1004 North Highland Avenue Phone: 615-867-7826 Fax: 615-867-7969 8531085, 2 843316 1272 Garrison Drive Murfreesboro, TN 37129 Phone: 615-867-7826 Smyrna StoneCrest Medical Center - HCA 7604508, 2 911924 200 StoneCrest Blvd. Phone: 615-768-2000 SUMNER COUNTY Gallatin Green Surgery Center LLC. 7957161, 4 051263 854 Lone Oak Drive Gallatin, TN 37066 Phone: 615-452-1602 Fax: 615-451-0139 Patient Partners, LLC 7620883, 9 412984 890 North Blue Jay Way Gallatin, TN 37066 Phone: 615-329-9000 Hendersonville Hendersonville Medical Center - HCA 6530555, 1 60583 355 New Shackle Island Road Phone: 615-264-4000 Fax: 615-264-4281 Portland Portland Medical Center-HCA 6530290, 1 60508 105 Redbud Drive Portland, TN 37148 Phone: 615-325-7301 WARREN COUNTY Mc Minnville Middle Tennessee Surgical Care, LLC 7966467, 9 71872 145 Health Way Drive Mc Minnville, TN 37110 Phone: 931-474-6872 Fax: 931-507-0077 WILLIAMSON COUNTY Franklin Franklin Endoscopy Center, LLC 7428880, 6 102645 740 Cool Springs Blvd. Suite 210 Phone: 615-550-6066 Fax: 615-550-6069 Oral Facial Surgery Center, Inc. 8531725, 9 612898 125 Cool Springs Blvd. Suite 120 Phone: 615-778-0902 The Bone And Joint Surgery Center, LLC 7153505, 3 761932 225 Bedford Way Franklin, TN 37064 Phone: 615-599-3883 Fax: 615-599-5228 Williamson Surgery Center, LLC 7770728, 9 533243 4323 Carothers Pkwy. Phone: 615-435-7900 Fax: 615-435-7937 WILSON COUNTY Lebanon Wilson County Eye Surgery Center, L.L.C. 5872756, 5 411121 1670 West Main Street Suite 120 Phone: 615-453-0709

Aetna "Select Provider" Directory - Dialysis BEDFORD COUNTY Shelbyville 4523090, 8 731068 841 Union Street Suite 205 Shelbyville, TN 37160 CHEATHAM COUNTY Ashland City 4523090, 4 6453 313 North Main Street Ashland City, TN 37015 COFFEE COUNTY Tullahoma 5906622, 5 571112 144 Jack Farrar Lane Tullahoma, TN 37388 Phone: 931-461-9010 4523090, 7 082120 1805 North Jackson Suite 200 Tullahoma, TN 37388 DAVIDSON COUNTY Hermitage 4523090, 8 842125 5653 Frist Blvd. Suite 334 Madison 5906622, 4 691212 1221 Briarville Road Phone: 615-870-0666 4523090, 9 51052 510 Hospital Drive 4523090, 4 691212 1221 Briarville Road 4523090, 7 862073 1589 Sparta Road Nashville 5906622, 4 7734 28 White Bridge Road Suite 300 Phone: 615-354-2442 5906622, 7 551570 604 Gallatin Road Nashville, TN 37206 Phone: 615-258-3288 5906622, 9 211255 242 Orlando Avenue Nashville, TN 37209 Phone: 615-354-0053 4523090, 4 6617 2021 Church Street Suite 305 4523090, 4 7734 28 White Bridge Road Suite 300 4523090, 5 31969 393 Wallace Road Suite 203 4523090, 6 782523 300 Orlando Avenue Nashville, TN 37209 White Bridge Dialysis 5331701, 5 511452 103 White Bridge Pike Nashville, TN 37209 Phone: 615-352-5535 Fax: 615-352-5875 DICKSON COUNTY Dickson 4523090, 4 051100 100 Academy Street Dickson, TN 37055 FRANKLIN COUNTY Winchester 4523090, 1 89672 185 Hospital Road Winchester, TN 37398 GILES COUNTY Pulaski 5906622, 3 401172 951 East College Street Pulaski, TN 38478 Phone: 931-424-6666 4523090, 3 401172 951 East College Street Pulaski, TN 38478 LAWRENCE COUNTY Lawrenceburg 4523090, 9 531113 1611 South Locust Avenue Suite 1 Lawrenceburg, TN 38464 MAURY COUNTY Columbia 5906622, 6 091259 1707 Alpine Drive Columbia, TN 38401 Phone: 931-380-9099 4523090, 4 6268 1401 Hatcher Lane Columbia, TN 38401 ROBERTSON COUNTY Springfield 5906622, 6 21302 106 Moreland Drive Springfield, TN 37172 Phone: 615-384-8939 4523090, 1 320326 221 Northcrest Drive Springfield, TN 37172

Aetna "Select Provider" Directory - Dialysis RUTHERFORD COUNTY Murfreesboro 5906622, 6 251601 1020 North Highland Avenue Suite A Phone: 615-849-2531 4523090, 9 72481 1020 North Highland Avenue Suite 2C Phone: 615-890-5484 Fax: 615-890-7924 4523090, 4 272068 1024 North Highland Street Suite B Smyrna 5906622, 8 821799 1100 Rock Springs Road Phone: 615-625-0000 Fax: 615-625-0003 4523090, 8 821799 1100 Rock Springs Road SMITH COUNTY Carthage 4523090, 2 54777 158 Hospital Drive Carthage, TN 37030 SUMNER COUNTY Gallatin 5906622, 9 901264 561 South Water Avenue Gallatin, TN 37066 Phone: 615-451-0093 Hendersonville 4523090, 5 36426 353 New Shackle Island Road Suite 202A Portland 5906622, 7 381503 923 South Broadway Portland, TN 37148 Phone: 615-323-7065 4523090, 9 092074 923 Broadway Portland, TN 37148 WILLIAMSON COUNTY Franklin 5906622, 1 331227 1120 Lakeview Drive Suite 400 Phone: 615-599-9810 4523090, 6 922143 2201 Mallory Lane Suite 302 WILSON COUNTY Lebanon 4523090, 1 532109 212 Babb Street 4523090, 2 450483 300 Steam Plant Road Suite 300 Gallatin, TN 37066