NPIMap

Individual provider Active NPI

Richard D Kennedy, M.D.

  • Family Medicine Physician
  • Columbia, TN
National Provider Identifier
1215029897
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34124 Issued in TN
Practice address
1609 Rosewood Dr
Columbia, TN 38401-6420
Phone
(931) 388-8802
Fax
(931) 490-2292
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34124 TN Primary

Addresses

Primary practice location

1609 Rosewood Dr
Columbia, TN 38401-6420

Mailing address

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

Other identifiers 5

IdentifierTypeStateIssuer
1512603MedicaidTN
3850826MedicaidTN
38508261MedicaidTN
3710089MedicaidTN
4021933OtherTNBCBSTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401001272 TN Practitioner - Family Practice 3476545195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

1609 Rosewood Dr
Columbia, TN 38401-6420
Phone (931) 381-0831

3443 Dickerson Pike
Suite 400
Nashville, TN 37207-2524
Phone (615) 612-2146

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34124TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid -Tennessee Family Health Center Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Saint Thomas Medical Partners Family Medicine CurrentSince Jan 1, 2012 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince May 1, 2019 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince May 1, 2019 Accepting new patients
Columbia TN SNF LLC Past Accepting new patients
Maury Regional Hospital Past Accepting new patients
Columbia Operations, LLC Past Accepting new patients

Locations

1609 Rosewood Dr
Columbia, TN 38401
Phone (615) 472-1855

1040 N James M Campbell Blvd
Ste 107
Columbia, TN 38401
Phone (931) 388-8802

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

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

110 Weakley Creek Rd
Lawrenceburg, TN 38464
Phone (931) 766-5001

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

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

300 20th Ave N
Fl 9
Nashville, TN 37203

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

Interoperability endpoints

  • Direct secure messaging: richard.kennedy@ahp.eclinicaldirectplus.com

Organizations & group practices 7

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1215029897",
    "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": "1609 ROSEWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016420",
            "telephone_number": "931-388-8802",
            "fax_number": "931-490-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "34124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512603",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3850826",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38508261",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710089",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "4021933",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.