Individual provider Active NPI

Elton Kerr, M.D.

  • Obstetrics & Gynecology Physician
  • Tullahoma, TN
National Provider Identifier
1184793622
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
60150 Issued in TN
Practice address
1440 Cedar LN Ste 200
Tullahoma, TN 37388-2486
Phone
(615) 322-5000
NPI assigned
Nov 7, 2006
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD00045856 WA
Obstetrics & Gynecology Physician 207V00000X 60150 TN Primary

Addresses

Primary practice location

1440 Cedar LN Ste 200
Tullahoma, TN 37388-2486

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

320 W 10th Ave
Kennewick, WA 99336-6302
Phone (509) 221-7000

Other identifiers 1

IdentifierTypeStateIssuer
8443483MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TN, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20081105000192 SD Practitioner - Obstetrics/Gynecology 8022073311 Reassigns benefits to 2 organizations
I20250724001083 TN Practitioner - Obstetrics/Gynecology 8022073311 Reassigns benefits to 1 organization
I20250922003071 KY Practitioner - Obstetrics/Gynecology 8022073311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1951 Bishop LN
FL 4
Louisville, KY 40218-1923

PO Box
Suite 776351
Chicago, IL 60677-6351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60150TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Mar 7, 2024 Accepting new patients
Sanford Health Network Current Accepting new patients
Vanderbilt Integrated Providers, LLC CurrentSince May 30, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Sanford Health Network CurrentSince Mar 7, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Vanderbilt Integrated Providers, LLC Obstetrics & Gynecology CurrentSince May 30, 2025 Accepting new patients
Cascade Womens Healthcare Obstetrics & Gynecology Past Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology Past Accepting new patients
Tullahoma Hma Physician Management, LLC Obstetrics & Gynecology PastSince Aug 17, 2025 Accepting new patients

Locations

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

400 N Hiawatha Dr
Canton, SD 57013
Phone (605) 764-1500

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

1440 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (931) 461-1101

Interoperability endpoints

  • Direct secure messaging: ekerr10664@direct.bsmhealth.org
  • Direct secure messaging: ekerr797047@direct.vumc.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1184793622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CEDAR LN STE 200",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882486",
            "telephone_number": "615-322-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993366302",
            "country_code": "US",
            "telephone_number": "509-221-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "ELTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00045856",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "60150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8443483",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.