Individual provider Active NPI

Michael L Reid, MD

  • Orthopaedic Surgery Physician
  • Hermitage, TN
National Provider Identifier
1063485274
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
16700 Issued in TN
Practice address
5651 Frist Boulevard
Suite 500
Hermitage, TN 37076
Phone
(615) 889-3340
Fax
(615) 889-6087
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 16700 TN Primary

Addresses

Primary practice location

5651 Frist Boulevard
Suite 500
Hermitage, TN 37076

Mailing address

1321 Murfreesboro Road
Suite 510
Nashville, TN 37217
Phone (615) 366-8890

Other identifiers 2

IdentifierTypeStateIssuer
54516OtherTNBCBS
3017603MedicaidTN

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
I20100629000472 TN Practitioner - Orthopedic Surgery 3072598804 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine, PLC CurrentSince Jan 1, 1996 Accepting new patients
Premier Orthopaedics & Sports Medicine PLC Orthopaedic Surgery Current Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC Orthopaedic Surgery CurrentSince Jan 1, 1996 Accepting new patients
Premier Orthopaedic Surgery Center, LLC PastSince Oct 8, 2003 Accepting new patients

Locations

5651 Frist Blvd
Ste 500
Hermitage, TN 37076
Phone (615) 874-8006

1321 Murfreesboro Pike
Ste 510
Nashville, TN 37217
Phone (615) 366-8890

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1063485274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO ROAD",
            "address_2": "SUITE 510",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37217",
            "telephone_number": "615-366-8890",
            "fax_number": "615-366-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BOULEVARD",
            "address_2": "SUITE 500",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-889-3340",
            "fax_number": "615-889-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "16700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54516",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3017603",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.