Impact Sports Medicine & Orthopedics, PLLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

36919 Issued in TN

Legal business name

IMPACT SPORTS MEDICINE & ORTHOPEDICS, PLLC

Practice address

345 23Rd Ave N
Suite 301
Nashville, TN 37203-1513

Phone

(615) 329-2520

NPI assigned

May 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Frank Clarke Holmes, MDNPI 1851398077

Title

Owner

Phone

(615) 346-4036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Clarke Holmes IV, MD

  • Sports Medicine (Family Medicine) Physician
  • Nashville, TN
  • NPI 1851398077
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1053670265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 23RD AVE N",
            "address_2": "SUITE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031513",
            "telephone_number": "615-346-4036",
            "fax_number": "615-346-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 23RD AVE N",
            "address_2": "SUITE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031513",
            "telephone_number": "615-329-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT SPORTS MEDICINE & ORTHOPEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "CLARKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-346-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TN",
            "license": "36919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.