Individual provider Active NPI

Jeffrie C Kindred, DO

  • Sports Medicine (Family Medicine) Physician
  • Gallatin, TN
National Provider Identifier
1033316484
Registry record updated Mar 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
2300 Issued in TN
Practice address
225 Big Station Camp Blvd
Gallatin, TN 37066-8464
Phone
(615) 328-3380
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 2300 TN Primary

Addresses

Primary practice location

225 Big Station Camp Blvd
Gallatin, TN 37066-8464

Mailing address

225 Big Station Camp Blvd
Gallatin, TN 37066-8464
Phone (615) 328-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000550 TN Practitioner - Family PracticePractitioner - Sports Medicine 0941356315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Medical Group, PLLCGroup PAC ID 3779544895, 52 clinicians

Practice addresses (Care Compare)

491 Sage Rd N
Suite 200
White House, TN 37188-9361
Phone (615) 672-7122

Hospital & facility affiliations

  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2300TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Medical Group, PLLC CurrentSince Jul 2, 2018 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Sumner Physician Practices LLC CurrentSince Apr 8, 2013 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Apr 8, 2013 Accepting new patients
Southern Sports Medicine Institute, PLLC Past Accepting new patients
Crossroads Medical Group, P.a. Past Accepting new patients

Locations

225 Big Station Camp Blvd
Gallatin, TN 37066
Phone (615) 328-3380

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

420 Highway 52 W
Portland, TN 37148
Phone (615) 325-2226

491 Sage Rd N
Ste 200
White House, TN 37188
Phone (615) 581-5925

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCDCA/Endpoint/IJCDCA
  • Direct secure messaging: jeffrie.kindred@1097344741998596.direct.elationemr.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362787200000",
    "number": "1033316484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BIG STATION CAMP BLVD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370668464",
            "telephone_number": "615-328-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BIG STATION CAMP BLVD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370668464",
            "telephone_number": "615-328-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDRED",
        "first_name": "JEFFRIE",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2013-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "2300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.