Individual provider Active NPI

Jennifer M Tatalovich, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Franklin, TN
National Provider Identifier
1124226477
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
42537 Issued in TN
Practice address
100 Covey Dr Ste 205
Franklin, TN 37067-5603
Phone
(615) 284-4664
Fax
(615) 284-4668
NPI assigned
Jul 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 42537 TN
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 42537 TN Primary

Addresses

Primary practice location

100 Covey Dr Ste 205
Franklin, TN 37067-5603

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Other identifiers 1

IdentifierTypeStateIssuer
1508987MedicaidTN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071119000357 TN Practitioner - Obstetrics/Gynecology 6002904489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Williamson Medical Group, LLCGroup PAC ID 6204069602, 68 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

4323 Carothers Pkwy
Franklin, TN 37067-5914

4323 Carothers Pkwy
Franklin, TN 37067-5920

820 N Thompson LN
Murfreesboro, TN 37129-4339

9040 Carothers Pkwy
Suite A205
Franklin, TN 37067-6312
Phone (629) 245-8080

Hospital & facility affiliations

  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029
  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17
Removal of the uterus11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42537TNMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Jun 2, 2020 Accepting new patients
Williamson Medical Group, LLC CurrentSince Dec 1, 2023 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jun 2, 2020 Accepting new patients

Locations

100 Covey Dr
Ste 205
Franklin, TN 37067
Phone (615) 284-4664

4323 Carothers Pkwy
Ste 505
Franklin, TN 37067
Phone (615) 435-7780

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

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

Interoperability endpoints

  • Direct secure messaging: jennifertatalovich@wmc.allscriptsdirect.net

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 3

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": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1124226477",
    "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": "100 COVEY DR STE 205",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675603",
            "telephone_number": "615-284-4664",
            "fax_number": "615-284-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATALOVICH",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "42537",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TN",
            "license": "42537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508987",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.