Individual provider Active NPI

Jordan J. Shirley, DO

  • Family Medicine Physician
  • Gallatin, TN
National Provider Identifier
1154828796
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4331 Issued in TN
Practice address
110 Saint Blaise Rd Ste 200
Gallatin, TN 37066-4594
Phone
(615) 230-8070
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 4331 TN
Family Medicine Physician 207Q00000X 4331 TN Primary

Addresses

Primary practice location

110 Saint Blaise Rd Ste 200
Gallatin, TN 37066-4594

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

1531 Hunt Club Blvd
Suite 304
Gallatin, TN 37066
Phone (615) 814-4600

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
I20210907000698 TN Practitioner - Family Practice 5597161240 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians
Sumner Physician Practices LLCGroup PAC ID 8820283260, 59 clinicians
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians

Practice addresses (Care Compare)

110 Saint Blaise Rd
Suite 200
Gallatin, TN 37066-4427
Phone (615) 230-8070

1531 Hunt Club Blvd
Suite 304
Gallatin, TN 37066-6098
Phone (615) 328-3750

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 769-2000

Hospital & facility affiliations

  • Highpoint Hospice Hospice, Gallatin, TN, CCN 441513
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anova Medical Associates, PLC Hospitalist CurrentSince Aug 31, 2024 Accepting new patients
Sumner Physician Practices LLC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Dec 5, 2025 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Dec 1, 2023 Accepting new patients
Hospital Medicine Services of TN, LLC Hospitalist CurrentSince Dec 16, 2023 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Dec 5, 2025 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Sumner Physician Practices LLC Family Medicine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

110 Saint Blaise Rd
Ste 200
Gallatin, TN 37066

1531 Hunt Club Blvd
Ste 304
Gallatin, TN 37066
Phone (423) 718-1988

1156 Nashville Pike
Gallatin, TN 37066
Phone (615) 989-1088

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

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

2300 Patterson St
#M
Nashville, TN 37203

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

3443 Dickerson Pike
Ste 680
Nashville, TN 37207
Phone (615) 865-3322

Organizations & group practices 8

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 4

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1154828796",
    "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": "110 SAINT BLAISE RD STE 200",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664594",
            "telephone_number": "615-230-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1531 Hunt Club Blvd",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "37066",
            "country_code": "US",
            "telephone_number": "615-814-4600",
            "fax_number": "615-814-4606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "JORDAN",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "4331",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "4331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.