NPIMap

Organization Active NPI

Tristar Tennessee Heart and Vascular LLC

  • Cardiovascular Disease Physician
  • Hendersonville, TN
National Provider Identifier
1114708906
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
TRISTAR TENNESSEE HEART AND VASCULAR LLC
Practice address
353 New Shackle Island Rd Ste 300C
Hendersonville, TN 37075-2384
Phone
(615) 824-0043
NPI assigned
Oct 9, 2023
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
John R Rodgers Jr.
Title
Vice President
Phone
(615) 373-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

353 New Shackle Island Rd Ste 300C
Hendersonville, TN 37075-2384

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231218000395 TN Part B Supplier - Clinic/Group Practice 2567811474 Receives reassigned benefits from 23 practitioners
Practice locations: Hermitage, TN; Lafayette, TN; Nashville, TN; Pleasant View, TN; Portland, TN; Springfield, TN; White House, TN; Hendersonville, TN…

National Provider Directory

National Provider Directory

Locations

158 Hospital Dr
Carthage, TN 37030
Phone (615) 735-1560

401 Windsor Green Ct
Ste 101
Goodlettsville, TN 37072
Phone (615) 589-8488

353 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 822-0858

3443 Dickerson Pike
Ste 410
Nashville, TN 37207

3443 Dickerson Pike
Ste 430
Nashville, TN 37207
Phone (615) 515-1980

105 Redbud Dr
Ste D
Portland, TN 37148
Phone (615) 822-2214

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1114708906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 300C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752384",
            "telephone_number": "615-824-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR TENNESSEE HEART AND VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-373-7600",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.