Individual provider Active NPI

David J Soll, MD

  • Obstetrics & Gynecology Physician
  • Jackson, TN
National Provider Identifier
1083601199
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
69678 Issued in CO
Practice address
395 Hospital Blvd
Jackson, TN 38305-2080
Phone
(731) 660-3344
Fax
(731) 660-3347
NPI assigned
Oct 4, 2005
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 37015 TN
Obstetrics & Gynecology Physician 207V00000X 69678 CO Primary

Addresses

Primary practice location

395 Hospital Blvd
Jackson, TN 38305-2080

Mailing address

257 Bancorp South Pkwy
Jackson, TN 38305-7582

Other identifiers 4

IdentifierTypeStateIssuer
4050211OtherTNBCBS OF TN
4609436OtherTNCIGNA
3880342MedicaidTN
5835646OtherTNAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TN, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040719000090 AZ Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 8628057114
I20041012001407 TN Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 8628057114 Reassigns benefits to 2 organizations
I20230208002080 CO Practitioner - Obstetrics/Gynecology 8628057114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

395 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 660-3344

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37015TNMDPharmacist
69678COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc Family Medicine CurrentSince Nov 2, 2025 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince May 1, 2020 Accepting new patients
Banner Health Physicians Colorado LLC Current Accepting new patients
North Colorado Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
North Country Healthcare, Inc. CurrentSince May 1, 2020 Accepting new patients
North Country Healthcare, Inc. Family Medicine Current Accepting new patients
Womans Clinic a Professional Association Obstetrics & Gynecology CurrentSince Jan 6, 2003 Accepting new patients
North Country Healthcare Inc Past Accepting new patients
Jackson Surgical Associates. PA Past Accepting new patients

Locations

1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300

1501 S Yale St
Ste 252
Flagstaff, AZ 86001
Phone (928) 774-1811

2187 N Vickey St
Ste 2
Flagstaff, AZ 86004
Phone (928) 527-1899

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100

1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177

3505 Western Ave
Ste B
Kingman, AZ 86409
Phone (928) 692-0849

488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

1600 23rd Ave
Greeley, CO 80634
Phone (970) 356-2424

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

2001 70th Ave
Ste 200
Greeley, CO 80634
Phone (970) 313-0027

2001 70th Ave
Ste 300
Greeley, CO 80634
Phone (970) 527-1122

244 Coatsland Dr
Jackson, TN 38301
Phone (731) 422-4642

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

395 Hospital Blvd
Jackson, TN 38305
Phone (731) 660-3344

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

Organizations & group practices 10

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

Hospital & facility affiliations 1

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1083601199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 BANCORP SOUTH PKWY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 HOSPITAL BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052080",
            "telephone_number": "731-660-3344",
            "fax_number": "731-660-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLL",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "37015",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "69678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4050211",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4609436",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3880342",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5835646",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.