Individual provider Active NPI

Anthony D. Khim, M.D.

  • Specialist
  • Columbia, TN
National Provider Identifier
1295736940
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
867084 Issued in TN
Practice address
101 Berrywood Dr
Columbia, TN 38401-6409
Phone
(931) 381-2110
Fax
(931) 381-5178
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 867084 TN Primary
Urology Physician 208800000X 94865 GA
Urology Physician 208800000X C4408 KY

Addresses

Primary practice location

101 Berrywood Dr
Columbia, TN 38401-6409

Mailing address

257 Bancorp South Pkwy
Jackson, TN 38305-7582
Phone (615) 599-1647

Other practice location 1

3602 Cumberland Ave Ste B102
Middlesboro, KY 40965-2614
Phone (606) 242-1577

Other practice location 2

601 S 8th St
Griffin, GA 30224-4213
Phone (706) 242-5201

Other practice location 3

700 W Forest Ave Fl 5
Jackson, TN 38301-3937
Phone (731) 541-0240

Other identifiers 1

IdentifierTypeStateIssuer
3041871OtherTNBLUE CROSS BLUE SHIELD TN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akhim516138@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, 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
I20100602000493 TN Practitioner - Urology 7113988197 Reassigns benefits to 4 organizations
I20230410001760 GA Practitioner - Urology 7113988197 Reassigns benefits to 1 organization
I20251022002070 KY Practitioner - Urology 7113988197 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cookeville Regional Medical Group IncGroup PAC ID 8325092638, 54 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians
Columbia Urological Associates, P.a.Group PAC ID 1254463334, 4 clinicians
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 783-5857

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

1002 Cornerstone Dr
Paris, TN 38242-5845
Phone (731) 642-8884

101 Berrywood Dr
Columbia, TN 38401-6409
Phone (931) 381-2110

1224 N Trotwood Ave
Columbia, TN 38401-4802

1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111

2032 Cumberland Ave
Middlesboro, KY 40965-2829
Phone (606) 248-4833

215 S Cedar Lane
Pulaski, TN 38478-3502
Phone (931) 381-2110

3504 Cumberland Ave
Middlesboro, KY 40965-2612

3504 W Cumberland Ave
Middlesboro, KY 40965-2612
Phone (606) 248-0737

3602 Cumberland Ave
Suite B102
Middlesboro, KY 40965-2614
Phone (606) 242-1577

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721

854 W James Campbell
Suite 303
Columbia, TN 38401-4672

854 W James Campbell Blvd
Columbia, TN 38401-4672
Phone (931) 388-8779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.31 of 100Reported as group
Quality
89.3
Promoting interoperability
100
Improvement activities
40
Cost
78.4

Merit-based Incentive Payment System (MIPS)

Final score
40.99 of 100Reported as group
Quality
58.34
Promoting interoperability
0
Improvement activities
0
Cost
78.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
867084TNMDSpecialist
C4408KYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Feb 27, 2026 Accepting new patients
Appalachian Regional Healthcare, Inc. Current Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Oct 1, 2025 Accepting new patients
Maury Regional Medical Group, Inc CurrentSince Dec 1, 2020 Accepting new patients
West Tennessee Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Columbia Urological Associates, P.a. Specialist CurrentSince Aug 24, 1996 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2023 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Feb 27, 2026 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Cookeville Regional Medical Group, Inc CurrentSince Jun 25, 2021 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Dec 1, 2020 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

3602 Cumberland Ave
Ste B102
Middlesboro, KY 40965
Phone (606) 242-1577

3504 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-0737

1222 Trotwood Ave
Ste 603
Columbia, TN 38401
Phone (931) 381-9338

101 Berrywood Dr
Columbia, TN 38401
Phone (931) 381-2110

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

1407 Hatcher Ln
Columbia, TN 38401
Phone (931) 381-2110

320 N Oak Ave
Cookeville, TN 38501
Phone (931) 528-5547

100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

700 W Forest Ave
Fl 4
Jackson, TN 38301
Phone (731) 234-8736

700 W Forest Ave
Ste 4
Jackson, TN 38301

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1080 N Ellington Pkwy
Lewisburg, TN 37091
Phone (615) 359-6241

1002 Cornerstone Dr
Paris, TN 38242
Phone (731) 642-8884

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

Interoperability endpoints

  • Direct secure messaging: anthonykhim@columbiauro.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
  • Direct secure messaging: akhim00@arh.medalliesdirect.net

Organizations & group practices 15

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 15

Hospital & facility affiliations 6

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1295736940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 BANCORP SOUTH PKWY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057582",
            "telephone_number": "615-599-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BERRYWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016409",
            "telephone_number": "931-381-2110",
            "fax_number": "931-381-5178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3602 Cumberland Ave Ste B102",
            "address_purpose": "LOCATION",
            "city": "Middlesboro",
            "state": "KY",
            "postal_code": "409652614",
            "country_code": "US",
            "telephone_number": "606-242-1577",
            "fax_number": "606-242-4578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244213",
            "country_code": "US",
            "telephone_number": "706-242-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Forest Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013937",
            "country_code": "US",
            "telephone_number": "731-541-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHIM",
        "first_name": "ANTHONY",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "867084",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "94865",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "C4408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "3041871",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhim516138@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "601 S 8th St",
            "city": "Griffin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302244213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.