Active NPI
Jon Cumberledge, MD
- Family Medicine Physician
- Franklin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036089828
- Practice address
- 4323 Carothers Pkwy Ste 505
Franklin, TN 37067-5920 - Phone
- (615) 435-7780
- Fax
- (615) 435-7789
- NPI assigned
- Sep 23, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036089828 | IL | Primary |
Addresses
Primary practice location
4323 Carothers Pkwy Ste 505
Franklin, TN 37067-5920
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036089828 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcumberledge395379@direct.vumc.org | Direct |
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
- Family Practice
- Education
- Southern Illinois University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4323 Carothers Pkwy
Suite 505
Franklin, TN 37067-5920
Phone (615) 435-7780
Hospital & facility affiliations
- Williamson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036089828 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamson Medical Group, LLC | Current | Accepting new patients | |
| Healthcare Physicians of Southern Illinois, PC | Family Medicine | Past | Accepting new patients |
| Robert Farmer MD SC | Family Medicine | Past | Accepting new patients |
| Midwest Emergency Management, Inc. | Past | Accepting new patients |
Locations
4323 Carothers Pkwy
Ste 505
Franklin, TN 37067
Phone (615) 435-7780
Interoperability endpoints
- joncumberledge@wmc.allscriptsdirect.net
Organizations & group practices 4
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
- Franklin, TN
- NPI 1366872053
-
- Family Medicine Physician
- Belleville, IL
- NPI 1023034618
-
- Urgent Care Clinic/Center
- O Fallon, IL
- NPI 1487601506
-
- Family Medicine Physician
- New Baden, IL
- NPI 1013101211
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, TN
- NPI 1265445506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1285620344",
"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": "4323 CAROTHERS PKWY STE 505",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370675920",
"telephone_number": "615-435-7780",
"fax_number": "615-435-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMBERLEDGE",
"first_name": "JON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036089828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036089828",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcumberledge395379@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372321811",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.