Active NPI
Ryan Nicholas Shephard, DO
- Pulmonary Disease Physician
- Nashville, TN
National Provider Identifier
1043849789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 6977
- Practice address
- 4230 Harding Pike Ste 200
Nashville, TN 37205-2020 - Phone
- (615) 964-5864
- Fax
- (615) 269-7359
- NPI assigned
- Apr 4, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | T-4073 | MS | |
| Pulmonary Disease Physician | 207RP1001X | 6977 | TN | Primary |
Addresses
Primary practice location
4230 Harding Pike Ste 200
Nashville, TN 37205-2020
Mailing address
3925 Nassau St
Jackson, MS 39216-3612
Phone (615) 830-8086
Other practice location 1
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018
Other practice location 2
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241118001429 | MS | Order and Referring Only - Internal Medicine | 2264966928 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-4073 | MS | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1043849789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 NASSAU ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392163612",
"telephone_number": "615-830-8086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 HARDING PIKE STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052020",
"telephone_number": "615-964-5864",
"fax_number": "615-269-7359"
}
],
"practiceLocations": [
{
"address_1": "3024 Business Park Cir",
"address_purpose": "LOCATION",
"city": "Goodlettsville",
"state": "TN",
"postal_code": "370723132",
"country_code": "US",
"telephone_number": "615-239-2018",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164500",
"country_code": "US",
"telephone_number": "601-984-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPHARD",
"first_name": "RYAN",
"middle_name": "NICHOLAS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-04",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "T-4073",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "6977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.