Active NPI
Stephen Keith Hollister, M.D.
- Surgery Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 11015974
- Practice address
- 345 23Rd Ave N Ste 300
Nashville, TN 37203-1513 - Phone
- (615) 342-5740
- Fax
- (615) 342-5742
- NPI assigned
- Jun 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 11015974 | IN | Primary |
Addresses
Primary practice location
345 23Rd Ave N Ste 300
Nashville, TN 37203-1513
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018
Other practice location 1
1120 South Dr
Fessler Hall, Room 224
Indianapolis, IN 46202-5135
Phone (317) 274-8282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11015974 | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
| 55293 | Other | TN | TN BOARD OF MEDICAL EXAMINERS |
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
- Colorectal Surgery (Proctology)
- Education
- East Tennessee State University Quillen College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
345 23Rd N Ave
Suite 300
Nashville, TN 37203-1513
Phone (615) 342-5740
Hospital & facility affiliations
- Tristar Centennial Medical Center
- Ascension Saint Thomas Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 50 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015974 | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging, PC | Current | Accepting new patients | |
| Advanced Diagnostic Imaging PC | Current | Accepting new patients |
Locations
3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018
345 23rd Ave N
Ste 300
Nashville, TN 37203
Phone (615) 342-5740
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
Interoperability endpoints
- keith.hollister@ahp.eclinicaldirectplus.com
Organizations & group practices 2
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
- Goodlettsville, TN
- NPI 1093741464
-
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1154615045",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 23RD AVE N STE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031513",
"telephone_number": "615-342-5740",
"fax_number": "615-342-5742"
}
],
"practiceLocations": [
{
"address_1": "1120 South Dr",
"address_2": "Fessler Hall, Room 224",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025135",
"country_code": "US",
"telephone_number": "317-274-8282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLISTER",
"first_name": "STEPHEN",
"middle_name": "KEITH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "11015974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
"identifier": "11015974",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN BOARD OF MEDICAL EXAMINERS",
"identifier": "55293",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.