Individual provider Active NPI

Kenneth Hawkins, MD

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1245325422
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29125 Issued in TN
Practice address
210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone
(615) 312-0600
Fax
(615) 320-3259
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29125 TN Primary

Addresses

Primary practice location

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620

Mailing address

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

Other practice location 1

4488 Carothers Pkwy Ste 110
Franklin, TN 37067-6584
Phone (615) 320-7387

Other practice location 2

103 Physicians Way Ste 100
Lebanon, TN 37090-4129
Phone (615) 443-7436

Other practice location 3

2018 Murphy Ave Ste 200
Nashville, TN 37203-1929
Phone (615) 320-7387

Other identifiers 3

IdentifierTypeStateIssuer
1516892MedicaidTN
7100141730MedicaidKY
P00428801OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050928001251 TN Practitioner - Diagnostic Radiology 4587640503 Reassigns benefits to 7 organizations
I20141217002621 KY Practitioner - Diagnostic Radiology 4587640503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Middle Tennessee Imaging LLCGroup PAC ID 5698743706, 121 clinicians
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians

Practice addresses (Care Compare)

115 Lucas LN
Brentwood, TN 37027-5443
Phone (615) 312-0600

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

222 22ND Ave N
Nashville, TN 37203-1852
Phone (615) 312-0600

28 White Bridge Rd
Nashville, TN 37205-1466
Phone (615) 356-3999

3901 Central Pike
Suite 154
Hermitage, TN 37076-3485
Phone (615) 316-3000

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
  • Tristar Greenview Regional Hospital Hospital, Bowling Green, KY, CCN 180124
  • Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29125TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Dec 19, 2024 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Dec 19, 2024 Accepting new patients
Tennessee Oncology,PLLC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Lebanon Pet Scan Center, LLC Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Imaging Alliance Nashville Pet LLC CurrentSince Jan 1, 2013 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 1, 2010 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Dec 19, 2024 Accepting new patients
Tennessee Oncology PLLC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Middle Tennessee Imaging, LLC Past Accepting new patients
Highland Radiology Associates PLLC Past Accepting new patients
Radiology Alliance CT Diagnostic Radiology Past Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology PastSince Aug 1, 2018 Accepting new patients
Tennessee Oncology, PLLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 77)

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

3754 Murfreesboro Pike
Ste 102
Antioch, TN 37013
Phone (615) 467-4642

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

789 Old Hickory Blvd
Brentwood, TN 37027
Phone (615) 555-6870

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

7402 Lee Hwy
Chattanooga, TN 37421
Phone (423) 242-9750

2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733

980 Professional Park Dr
Ste E
Clarksville, TN 37040
Phone (615) 327-2001

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

3310 Aspen Grove Dr
Ste 101
Franklin, TN 37067
Phone (615) 771-0171

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

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 and National Provider Directory roles.

View all 13

Hospital & facility affiliations 5

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1245325422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4488 Carothers Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370676584",
            "country_code": "US",
            "telephone_number": "615-320-7387",
            "fax_number": "615-327-3756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Physicians Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370904129",
            "country_code": "US",
            "telephone_number": "615-443-7436",
            "fax_number": "615-444-0492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2018 Murphy Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031929",
            "country_code": "US",
            "telephone_number": "615-320-7387",
            "fax_number": "615-327-3756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "29125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516892",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100141730",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00428801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.