Active NPI
Henry County Orthopaedic Surgery & Sports Medicine,PC
- Sports Medicine (Orthopaedic Surgery) Physician
- Paris, TN
National Provider Identifier
1124048541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- HENRY COUNTY ORTHOPAEDIC SURGERY & SPORTS MEDICINE,PC
- Practice address
- 1015 Kelley Dr
Suite 200
Paris, TN 38242-5819 - Phone
- (731) 644-2271
- Fax
- (731) 644-3980
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jeanettte Triplett
- Title
- HR Manager
- Phone
- (731) 644-2271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | TN | Primary |
Addresses
Primary practice location
1015 Kelley Dr
Suite 200
Paris, TN 38242-5819
Mailing address
1015 Kelley Dr
Suite 200
Paris, TN 38242-5819
Phone (731) 644-2271
Other identifiers 24
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4090498 | Other | TN | BCBS |
| 1205833142 | Other | TN | GLADWELL NPI |
| 1942279807 | Other | TN | SANDLIN NPI |
| 0188163 | Other | TN | BCBS |
| 1346247186 | Other | TN | MCCABE SMITH NPI |
| 4102404 | Other | TN | BCBS |
| 1164429080 | Other | TN | GULISH NPI |
| 200017654 | Other | TN | PALMETA GBA |
| CG3049 | Other | TN | PALMETO GBA |
| P00131527 | Other | TN | PALMETO GBA |
| 3903155 | Medicaid | TN | |
| 4291627 | Other | TN | BCBS |
| 9002131747 | Other | TN | PALMETO GBA |
| 1124048541 | Other | TN | GROUP NPI |
| 1447574249 | Other | TN | VIRGINIA PEEBLES, FNP NPI |
| 1521937 | Medicaid | TN | |
| 3719301 | Medicaid | TN | |
| 4058520 | Other | TN | BCBS |
| 4102410 | Other | TN | BCBS |
| 1194018622 | Other | TN | BARTON NPI |
| 1740288349 | Other | TN | K GULISH NPI |
| 4090494 | Other | TN | BCBS |
| 4102122 | Other | TN | BCBS |
| 4288429 | Other | TN | BCBS |
National Provider Directory
National Provider DirectoryLocations
701 E Reelfoot Ave
Union City, TN 38261
Phone (731) 644-2271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336521600000",
"number": "1124048541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 KELLEY DR",
"address_2": "SUITE 200",
"city": "PARIS",
"state": "TN",
"postal_code": "382425819",
"telephone_number": "731-644-2271",
"fax_number": "731-644-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 KELLEY DR",
"address_2": "SUITE 200",
"city": "PARIS",
"state": "TN",
"postal_code": "382425819",
"telephone_number": "731-644-2271",
"fax_number": "731-644-3980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY COUNTY ORTHOPAEDIC SURGERY & SPORTS MEDICINE,PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2012-05-09",
"status": "A",
"authorized_official_last_name": "TRIPLETT",
"authorized_official_first_name": "JEANETTTE",
"authorized_official_title_or_position": "HR MANAGER",
"authorized_official_telephone_number": "731-644-2271",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4090498",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLADWELL NPI",
"identifier": "1205833142",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANDLIN NPI",
"identifier": "1942279807",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0188163",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCCABE SMITH NPI",
"identifier": "1346247186",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4102404",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GULISH NPI",
"identifier": "1164429080",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETA GBA",
"identifier": "200017654",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETO GBA",
"identifier": "CG3049",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETO GBA",
"identifier": "P00131527",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3903155",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4291627",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETO GBA",
"identifier": "9002131747",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1124048541",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PEEBLES, FNP NPI",
"identifier": "1447574249",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521937",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3719301",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4058520",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4102410",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BARTON NPI",
"identifier": "1194018622",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "K GULISH NPI",
"identifier": "1740288349",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4090494",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4102122",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4288429",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.