Active NPI
Jeffrie C Kindred, DO
- Sports Medicine (Family Medicine) Physician
- Gallatin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 2300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
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
- Tristar Hendersonville Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2300 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Medical Group, PLLC | Current | Accepting new patients | |
| Sumner Physician Practices LLC | Current | Accepting new patients | |
| Sumner Physician Practices LLC | Current | Accepting new patients | |
| Sumner Physician Practices, LLC | Current | 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
- https://fhir4.healow.com/fhir/r4/IJCDCA/Endpoint/IJCDCA
- 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.
-
- Clinic/Center
- White House, TN
- NPI 1073539607
-
- Endocrinology, Diabetes & Metabolism Physician
- Gallatin, TN
- NPI 1720572209
-
- Neurology Physician
- Gallatin, TN
- NPI 1730637190
-
- Interventional Cardiology Physician
- Gallatin, TN
- NPI 1417782194
-
- Orthopaedic Surgery Physician
- Gallatin, TN
- NPI 1497966832
-
- Internal Medicine Physician
- Balitmore, MD
- NPI 1720041890
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hendersonville, TN
- NPI 1538114434
-
- General Acute Care Hospital
- Springfield, TN
- NPI 1093397184
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.