Jackson Daniel Cothren, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD6483 Issued in TN

Practice address

2201 Murphy Ave Ste 407
Nashville, TN 37203-1864

Phone

(615) 815-2350

Fax

(615) 522-5040

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tennessee Women'S Care, PC

  • Obstetrics & Gynecology Physician
  • Nashville, TN
  • NPI 1578584199
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1104829340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MURPHY AVE STE 407",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031864",
            "telephone_number": "615-815-2350",
            "fax_number": "615-522-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTHREN",
        "first_name": "JACKSON",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "MD6483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009775",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6066853",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Jude Costner, M.D.
• Kimberly J Cota
• Jeremy Gerard Cote, FNP
• Megan Cote
• Hallie Bain Cothran, PA-C
• Andrew Cotten, CRNA
• Athena Therese Cotten, FNP
• Beverly Maxwell Cotton, RN, MSN, CPNP-PC
• Bryan Cotton, MD
• Timothy Cotton

• Gynecology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.