Active NPI
Richard Michael Anderson, MD
- Family Medicine Physician
- Franklin, TN
National Provider Identifier
1396781530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD8620
- Practice address
- 100 Covey Drive
Suite 104
Franklin, TN 37067 - Phone
- (615) 791-1907
- Fax
- (615) 595-0742
- NPI assigned
- Jun 22, 2006
- Last updated
- Feb 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD8620 | TN | Primary |
Addresses
Primary practice location
100 Covey Drive
Suite 104
Franklin, TN 37067
Mailing address
100 Covey Drive
Suite 104
Franklin, TN 37067
Phone (615) 791-1907
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406012177A | Other | TN | MEDICARE RAILROAD |
| 2008280 | Other | TN | BCBS |
| 3158283 | Medicaid | TN |
Other names 1
- Richard Michael Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD8620 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1396781530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COVEY DRIVE",
"address_2": "SUITE 104",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "37067",
"telephone_number": "615-791-1907",
"fax_number": "615-595-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COVEY DRIVE",
"address_2": "SUITE 104",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "37067",
"telephone_number": "615-791-1907",
"fax_number": "615-595-0742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "RICHARD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD8620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "406012177A",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2008280",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3158283",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "ANDERSON",
"middle_name": "MICHAEL",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.