Individual provider Active NPI

Jeffrey D Poole, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Franklin, TN
National Provider Identifier
1114967684
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM0000000636 Issued in TN
Practice address
5030 Carothers Pkwy Ste 210
Franklin, TN 37067-6039
Phone
(615) 861-1935
Fax
(629) 209-9601
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DPM0000000636 TN Primary

Addresses

Primary practice location

5030 Carothers Pkwy Ste 210
Franklin, TN 37067-6039

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

100 Covey Dr
Suite 309
Franklin, TN 37067-5665
Phone (615) 790-3323

Other practice location 2

2040 Reserve Blvd Ste B
Spring Hill, TN 37174-0735
Phone (615) 861-1935

Other identifiers 3

IdentifierTypeStateIssuer
6092884OtherTNBCBS
103I480472OtherTNMEDICARE
3354148MedicaidTN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000255 TN Practitioner - Podiatry 4183668148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

1003 Reserve Blvd
Suite 340
Spring Hill, TN 37174-3111
Phone (615) 790-3323

3443 Dickerson Pike
Suite 400
Nashville, TN 37207-2524
Phone (615) 612-2146

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Smyrna, TN, CCN 447563
  • Amedisys Home Health Home health agency, Brentwood, TN, CCN 447107
  • Suncrest Home Health Home health agency, Nashville, TN, CCN 447403
  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue428
Removal of skin lesions17
Removal of nail tissue1395
Removal or shaving of skin growth19
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM0000000636TNMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Feb 7, 2017 Accepting new patients
Dr. Poole Foot and Ankle Specialist LLC Foot & Ankle Surgery CurrentSince Oct 21, 2025 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Feb 7, 2017 Accepting new patients

Locations

5030 Carothers Pkwy
Ste 210
Franklin, TN 37067
Phone (615) 281-6198

100 Covey Dr
Ste 309
Franklin, TN 37067
Phone (615) 435-5601

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

1725 Medical Center Pkwy
Ste 110
Murfreesboro, TN 37129
Phone (615) 494-1234

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

4230 Harding Pike
Ste 301
Nashville, TN 37205
Phone (615) 250-9395

4230 Harding Pike
Ste 202
Nashville, TN 37205
Phone (615) 385-4781

2040 Reserve Blvd
Ste B
Spring Hill, TN 37174
Phone (615) 455-3000

Interoperability endpoints

  • Direct secure messaging: jeffrey.poole@ahp.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1114967684",
    "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": "615-239-2018",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CAROTHERS PKWY STE 210",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676039",
            "telephone_number": "615-861-1935",
            "fax_number": "629-209-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Covey Dr",
            "address_2": "Suite 309",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370675665",
            "country_code": "US",
            "telephone_number": "615-790-3323",
            "fax_number": "615-790-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Reserve Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "TN",
            "postal_code": "371740735",
            "country_code": "US",
            "telephone_number": "615-861-1935",
            "fax_number": "629-209-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM0000000636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6092884",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "103I480472",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3354148",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.