Organization Active NPI

Henry County Orthopaedic Surgery & Sports Medicine,PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Paris, TN
National Provider Identifier
1124048541
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
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
Last updated
May 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

1015 Kelley Dr
Ste 101
Paris, TN 38242
Phone (731) 641-0002

1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271

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": [],
    "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.

Verify at the official NPI Registry.