NPIMap

Organization Active NPI

Northcrest Physician Services Inc

  • Internal Medicine Physician
  • Springfield, TN
National Provider Identifier
1356561856
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD6465 Issued in TN
Legal business name
NORTHCREST PHYSICIAN SERVICES INC
Practice address
417 Northcrest Dr
430 Northcrest Dr
Springfield, TN 37172-3973
Phone
(615) 382-5710
Fax
(615) 382-5776
NPI assigned
Apr 26, 2007
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Jerlyn S Davis
Title
Biller
Phone
(615) 382-5710

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 24985 TN
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 31309 TN
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X MD6465 TN Primary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 37667 TN
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 31565 TN

Addresses

Primary practice location

417 Northcrest Dr
430 Northcrest Dr
Springfield, TN 37172-3973

Mailing address

PO Box 969
Springfield, TN 37172-0969
Phone (615) 382-5710

National Provider Directory

National Provider Directory

Locations

3511 Old Clarksville Pike
Joelton, TN 37080
Phone (615) 299-5341

310 Northcrest Dr
Springfield, TN 37172
Phone (615) 433-7302

430 Northcrest Dr
Springfield, TN 37172
Phone (615) 382-5734

450 Northcrest Dr
Springfield, TN 37172
Phone (615) 382-7284

615 Highway 76
White House, TN 37188
Phone (615) 672-3767

Interoperability endpoints

  • Direct secure messaging: amywebster@ncps.allscriptsdirect.net
  • Direct secure messaging: anneeyler@ncps.allscriptsdirect.net
  • Direct secure messaging: brittanyjepson@ncps.allscriptsdirect.net
  • Direct secure messaging: christinedemers@ncps.allscriptsdirect.net
  • Direct secure messaging: dennisrainwater@ncps.allscriptsdirect.net
  • Direct secure messaging: donnahall@ncps.allscriptsdirect.net
  • Direct secure messaging: donnashell@ncps.allscriptsdirect.net
  • Direct secure messaging: emilysaldana@ncps.allscriptsdirect.net
  • Direct secure messaging: georgedahir@ncps.allscriptsdirect.net
  • Direct secure messaging: gilbertbazaldua@ncps.allscriptsdirect.net
  • Direct secure messaging: jaclynperez@ncps.allscriptsdirect.net
  • Direct secure messaging: joannferland@ncps.allscriptsdirect.net
  • Direct secure messaging: johnpennington@ncps.allscriptsdirect.net
  • Direct secure messaging: joshthornhill@ncps.allscriptsdirect.net
  • Direct secure messaging: kerigalbreath@ncps.allscriptsdirect.net
  • Direct secure messaging: kerrycarriganfite@ncps.allscriptsdirect.net
  • Direct secure messaging: mirandabarrow@ncps.allscriptsdirect.net
  • Direct secure messaging: patriciapowers@ncps.allscriptsdirect.net
  • Direct secure messaging: robertferland@ncps.allscriptsdirect.net
  • Direct secure messaging: ronasiscoe@ncps.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1356561856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371720969",
            "telephone_number": "615-382-5710",
            "fax_number": "615-382-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 NORTHCREST DR",
            "address_2": "430 NORTHCREST DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723973",
            "telephone_number": "615-382-5710",
            "fax_number": "615-382-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCREST PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JERLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "615-382-5710"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "24985",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "31309",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD6465",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "37667",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "31565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.