Individual provider Active NPI

Jonathan Philip Cornelius, MD

  • Orthopaedic Surgery Physician
  • Lebanon, TN
National Provider Identifier
1285843896
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
44463 Issued in TN
Practice address
100 Physicians Way
Suite 110
Lebanon, TN 37090-8102
Phone
(615) 547-6700
Fax
(615) 547-6707
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 44463 TN
Orthopaedic Surgery Physician 207X00000X 44463 TN Primary

Addresses

Primary practice location

100 Physicians Way
Suite 110
Lebanon, TN 37090-8102

Mailing address

PO Box 370
Fortson, GA 31808-0370

Other practice location 1

394 Harding Pl Ste 101
Nashville, TN 37211-3980
Phone (615) 832-9966

Other practice location 2

1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone (615) 444-8262

Other practice location 3

3901 Central Pike Ste 152
Hermitage, TN 37076-3420
Phone (615) 391-7200

Other practice location 4

5655 Frist Blvd
Hermitage, TN 37076-2053
Phone (615) 316-4900

Other practice location 5

200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (615) 768-2000

Other practice location 6

300 Stonecrest Blvd Ste 200
Smyrna, TN 37167-6800
Phone (615) 860-1580

Other practice location 7

5002 Crossing Circle
Ste: 110
Mount Juliet, TN 37122
Phone (615) 553-9100

Other practice location 8

394 Harding Pl Ste 100
Nashville, TN 37211-3980
Phone (615) 332-3600

Other practice location 9

353 New Shackle Island Rd Ste 141C
Hendersonville, TN 37075-2366
Phone (615) 826-7171

Other practice location 10

394 Harding Pl Ste 200
Nashville, TN 37211-3980
Phone (615) 834-4482

Other practice location 11

111 Highway 70 E Ste 103
Dickson, TN 37055-2080
Phone (615) 740-0260

Other practice location 12

2400 Patterson St Ste 300
Nashville, TN 37203-1558
Phone (615) 342-6300

Other identifiers 1

IdentifierTypeStateIssuer
1513462MedicaidTN

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
I20090623000780 TN Practitioner - Orthopedic Surgery 7517018039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedics and Sports Medicine PLCGroup PAC ID 9032023320, 39 clinicians

Practice addresses (Care Compare)

394 Harding PL
Suite 200
Nashville, TN 37211-3980
Phone (615) 834-4482

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Nashville, TN, CCN 447206
  • Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
  • Highpoint Health-Trousdale With Ascension Saint Hospital, Hartsville, TN, CCN 441301
  • Macon Community Hospital Hospital, Lafayette, TN, CCN 441305
  • Vanderbilt Wilson County Hospital Hospital, Lebanon, TN, CCN 440193
  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Merit-based Incentive Payment System (MIPS)

Final score
81.28 of 100Reported as individual
Quality
55.6
Promoting interoperability
100
Improvement activities
40
Cost
82.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement78
Knee replacement138
Lower limb (leg) arthroscopy (minimally invasive joint repair)18
Upper limb (arm) arthroscopy (minimally invasive joint repair)23
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44463TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine PLC Orthopaedic Surgery Current Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC Orthopaedic Surgery CurrentSince Nov 25, 2013 Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC CurrentSince Nov 25, 2013 Accepting new patients

Locations

111 Highway 70 E
Ste 103
Dickson, TN 37055
Phone (615) 326-2295

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

353 New Shackle Island Rd
Ste 141C
Hendersonvlle, TN 37075
Phone (615) 826-3100

127 Saundersville Rd
Hendersonvlle, TN 37075
Phone (615) 265-8038

3901 Central Pike
Ste 152
Hermitage, TN 37076
Phone (615) 391-7200

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

1616 W Main St
Lebanon, TN 37087
Phone (615) 453-9038

100 Physicians Way
Ste 110
Lebanon, TN 37090
Phone (615) 449-1100

125 Willard Hagan Dr
Lebanon, TN 37090
Phone (615) 449-1150

100 Physicians Way
Ste 120
Lebanon, TN 37090
Phone (615) 547-6700

1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

115 Willard Hagan Dr
Ste 100
Lebanon, TN 37090
Phone (615) 547-6700

5002 Crossings Cir
Ste 110
Mt Juliet, TN 37122
Phone (615) 553-5500

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

394 Harding Pl
Ste 100
Nashville, TN 37211
Phone (615) 234-0460

394 Harding Pl
Ste 101
Nashville, TN 37211
Phone (492) 381-8186

2400 Patterson St
Ste 300
Nashville, TN 37203
Phone (615) 342-2600

3443 Dickerson Pike
Ste 190
Nashville, TN 37207
Phone (615) 301-8269

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

300 Stonecrest Blvd
Ste 200
Smyrna, TN 37167
Phone (615) 220-4747

Interoperability endpoints

  • Direct secure messaging: jonathan.cornelius.1@321.direct.athenahealth.com

Organizations & group practices 10

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 7

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1285843896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
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            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370908102",
            "telephone_number": "615-547-6700",
            "fax_number": "615-547-6707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "394 Harding Pl Ste 101",
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            "postal_code": "372113980",
            "country_code": "US",
            "telephone_number": "615-832-9966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 W Baddour Pkwy",
            "address_purpose": "LOCATION",
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            "postal_code": "370872513",
            "country_code": "US",
            "telephone_number": "615-444-8262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Central Pike Ste 152",
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            "postal_code": "370763420",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5655 Frist Blvd",
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            "state": "TN",
            "postal_code": "370762053",
            "country_code": "US",
            "telephone_number": "615-316-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Stonecrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676810",
            "country_code": "US",
            "telephone_number": "615-768-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Stonecrest Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676800",
            "country_code": "US",
            "telephone_number": "615-860-1580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5002 Crossing Circle",
            "address_2": "STE: 110",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "37122",
            "country_code": "US",
            "telephone_number": "615-553-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "394 Harding Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372113980",
            "country_code": "US",
            "telephone_number": "615-332-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 New Shackle Island Rd Ste 141C",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752366",
            "country_code": "US",
            "telephone_number": "615-826-7171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "394 Harding Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372113980",
            "country_code": "US",
            "telephone_number": "615-834-4482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Highway 70 E Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370552080",
            "country_code": "US",
            "telephone_number": "615-740-0260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Patterson St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031558",
            "country_code": "US",
            "telephone_number": "615-342-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "JONATHAN",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "44463",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "44463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513462",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.