Individual provider Active NPI

Taly Drimer Kagan, MD

  • Psychiatry Physician
  • Goodlettsville, TN
National Provider Identifier
1366763591
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
53137 Issued in TN
Practice address
304 Northcreek Blvd Ste 120
Goodlettsville, TN 37072-2098
Phone
(615) 859-9902
Fax
(615) 859-9906
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X BP10038394 TX
Psychiatry Physician 2084P0800X 2014-00919 NC
Psychiatry Physician 2084P0800X P7270 TX
Psychiatry Physician 2084P0800X 53137 TN Primary

Addresses

Primary practice location

304 Northcreek Blvd Ste 120
Goodlettsville, TN 37072-2098

Mailing address

304 Northcreek Blvd Ste 120
Goodlettsville, TN 37072-2098
Phone (615) 859-9902

Other names 1

  • Dr. Taly Drimer-Kagan Professional name

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
I20151026000989 TN Practitioner - Psychiatry 9830328764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of TennesseeGroup PAC ID 5698687077, 21 clinicians

Practice addresses (Care Compare)

221 Stewarts Ferry Pike
Nashville, TN 37214-3325
Phone (615) 902-7400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10038394TXMDPsychiatry Physician
P7270TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee Current Accepting new patients
State of Tennessee CurrentSince Dec 12, 2018 Accepting new patients
State of Tennessee State F&a Payroll CurrentSince Dec 12, 2018 Accepting new patients
Christopher Dennis MD PLLC Psychiatry CurrentSince Nov 4, 2019 Accepting new patients

Locations

900 Heritage Way
Brentwood, TN 37027
Phone (615) 507-2686

2084 W Main St
Milan, TN 38358
Phone (731) 686-8321

500 Deaderick St
Bldg 6TH
Nashville, TN 37242

221 Stewarts Ferry Pike
Nashville, TN 37214
Phone (615) 902-7400

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.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1366763591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 NORTHCREEK BLVD STE 120",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722098",
            "telephone_number": "615-859-9902",
            "fax_number": "615-859-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 NORTHCREEK BLVD STE 120",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722098",
            "telephone_number": "615-859-9902",
            "fax_number": "615-859-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIMER KAGAN",
        "first_name": "TALY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP10038394",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2014-00919",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P7270",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "53137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALY",
            "last_name": "DRIMER-KAGAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.