Active NPI
Anthony D. Khim, M.D.
- Specialist
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 867084
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3041871 | Other | TN | BLUE CROSS BLUE SHIELD TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akhim516138@directwellstar.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Maury Regional Hospital
- Jackson-Madison County General Hospital
- Wayne Medical Center
- Baptist Health Corbin
- Marshall Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.31 of 100
- Quality
- 89.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.4
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.99 of 100
- Quality
- 58.34
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 78.29
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 867084 | TN | MD | Specialist |
| C4408 | KY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arh Mary Breckinridge Health Services, Inc. | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Maury Regional Medical Group, Inc | Current | Accepting new patients | |
| West Tennessee Medical Group Inc | Current | Accepting new patients | |
| Columbia Urological Associates, P.a. | Specialist | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Arh Mary Breckinridge Health Services, Inc. | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Cookeville Regional Medical Group, Inc | Current | Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | 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
- anthonykhim@columbiauro.medalliesdirect.net
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
- 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.
-
- Specialist
- Columbia, TN
- NPI 1881809614
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
-
- Family Medicine Physician
- Columbia, TN
- NPI 1205886264
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
-
- Primary Care Clinic/Center
- Bypro, KY
- NPI 1861671117
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Corbin, KY
- NPI 1053983908
-
- Rural Health Clinic/Center
- Spring Hill, TN
- NPI 1548889850
-
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
- Multi-Specialty Clinic/Center
- Middlesboro, KY
- NPI 1801403092
-
- Anatomic Pathology & Clinical Pathology Physician
- Hyden, KY
- NPI 1962040758
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- General Acute Care Hospital
- Waynesboro, TN
- NPI 1811927544
-
- General Acute Care Hospital
- Columbia, TN
- NPI 1861479545
-
- Critical Access Hospital
- Lewisburg, TN
- NPI 1578591756
-
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.