Active NPI
Jennifer M Tatalovich, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Franklin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 42537
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508987 | Medicaid | TN |
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
Enrollment records 1
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
- Select Physical Therapy Holdings Inc
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
- Maury Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 17 |
| Removal of the uterus | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42537 | TN | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging, PC | Current | Accepting new patients | |
| Williamson Medical Group, LLC | Current | Accepting new patients | |
| Advanced Diagnostic Imaging PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Franklin, TN
- NPI 1366872053
-
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
-
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, TN
- NPI 1861479545
-
- General Acute Care Hospital
- Franklin, TN
- NPI 1265445506
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.