Individual provider Active NPI

Keyosha R Gaines

  • Medical Oncology Physician
  • Nashville, TN
National Provider Identifier
1396319174
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
29278 Issued in TN
Practice address
1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501
Phone
(615) 342-4211
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 29278 TN Primary

Addresses

Primary practice location

1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501

Mailing address

1844 Belle Arbor Dr
Nashville, TN 37207-1120
Phone (615) 578-5663

Other practice location 1

1844 Belle Arbor Dr
Nashville, TN 37207-1120
Phone (615) 578-5663

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802002337 TN Practitioner - Nurse Practitioner 9234533084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Hospital AuthorityGroup PAC ID 3779775432, 50 clinicians

Practice addresses (Care Compare)

1818 Albion St
Nashville, TN 37208-2918
Phone (615) 341-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Medical College CurrentSince Jul 12, 2021 Accepting new patients
Metropolitan Hospital Authority CurrentSince Feb 1, 2023 Accepting new patients

Locations

131 French Landing Dr
Ste B
Nashville, TN 37228
Phone (615) 256-6210

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1396319174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 BELLE ARBOR DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372071120",
            "telephone_number": "615-578-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DR DB TODD JR BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083501",
            "telephone_number": "615-342-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1844 Belle Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372071120",
            "country_code": "US",
            "telephone_number": "615-578-5663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "KEYOSHA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TN",
            "license": "29278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.