Active NPI
Preston H Palm, MD
- Surgery Physician
- Mount Juliet, TN
National Provider Identifier
1093330110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 247334
- Practice address
- 660 S Mount Juliet Rd Ste 230
Mt Juliet, TN 37122-3923 - Phone
- (615) 874-9667
- Fax
- (615) 871-9682
- NPI assigned
- Jun 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 247334 | TN | Primary |
Addresses
Primary practice location
660 S Mount Juliet Rd Ste 230
Mt Juliet, TN 37122-3923
Mailing address
660 S Mount Juliet Rd Ste 230
Mt Juliet, TN 37122-3923
Phone (615) 874-9667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1093330110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S MOUNT JULIET RD STE 230",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371223923",
"telephone_number": "615-874-9667",
"fax_number": "615-871-9682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 S MOUNT JULIET RD STE 230",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371223923",
"telephone_number": "615-874-9667",
"fax_number": "615-871-9682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALM",
"first_name": "PRESTON",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-15",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "247334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.